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Inspection on 25/10/05 for Whitehaven

Also see our care home review for Whitehaven for more information

This inspection was carried out on 25th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The strength of Whitehaven is to provide care in a consistent way with a committed group of staff who recognise the individual needs of residents. The home makes every effort to continue providing care even where the needs of individuals are high and wherever possible avoiding the moving of particularly frail residents to nursing home care. However this is balanced with recognising where the home is not able to provide appropriate care, for example where an individual`s mental health and behaviour cannot be managed in the environment of Whitehaven.

What has improved since the last inspection?

The home continues to offer quality care to residents with good practice in care planning, ensuring that the needs of residents are met in a supportive way: described by one relative as a "kind and caring home".

What the care home could do better:

This inspection identified only one specific area which needs to be addressed: this is that of risk assessments regarding the continued practice of having uncovered radiators in communal areas of the home.

CARE HOMES FOR OLDER PEOPLE Whitehaven Fosseway Midsomer Norton Bath Bath & N E Somerset BA3 4AU Lead Inspector Jon Clarke Unannounced Inspection 25th October 2005 09:45 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.V257250.R01.S.doc Version 5.0 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.V257250.R01.S.doc Version 5.0 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 Mrs Lorraine Denise Musson Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate a named person with a Mental Disorder (MD). Will revert when named person leaves. May accommodate up to 23 persons aged 65 years and over requiring personal care only. 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. 3rd June 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 4 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.V257250.R01.S.doc Version 5.0 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 during this inspection. A number of records were seen including care plans and daily record of care, recruitment and training. Documents relating to health & safety aspects of the home were also looked at. A number of residents and staff were spoken with to get their views about the quality of care and care practices of the home. During the inspection staff were observed providing support and assistance and generally interacting with the residents of the home. 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. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 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 Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 & 6 were examined on the previous inspection and both standards were met. EVIDENCE: Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 8 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 There is good practice in completion of care plans which provide the necessary detail and associated tasks to make sure individuals receive the care they require. The health care needs of residents are met through the providing of necessary community health services. EVIDENCE: Care plans showed information about care needs, including abilities about selfcare in range of daily routines. Information was recorded about resident’s life and personal information to give Life profile. Reviews held regularly including that of risk assessments ie risk of falls, having uncovered radiator in individual’s room. Mobility & handling assessments completed. Evidence through signature of resident’s involvement in completion of care plan. Initial assessments completed giving daily routines such as times getting up/going to bed. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 9 Community health services: chiropody (6 weekly) visits the home; optician and community dental treatment is made available as required. The manager confirmed where individuals require physiotherapy or occupational therapy referrals are made through GP. District nurses visit the home to provide medical care and also to undertake continence assessments if required. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 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 the following standard(s): 13 The home makes sure and encourages residents to maintain contact with family/relatives and community links. EVIDENCE: The home has clear policy to welcome visitors to the home and a relative said to the inspector they were always made to feel welcome. A letter to the home from a relative stated that the “atmosphere was always welcoming and caring”. The home regularly organises events inviting relatives and friends. The home’s monthly newsletter announced the holding of a coffee morning and Halloween party. Residents where able continue attending clubs in the community, with one resident attending the local stroke club. Standard 15 was looked at the last inspection and was met. The inspector shared lunch with residents and found the meal to be well presented and appetising. Residents spoke very positively of the meals provided in the home and particularly the choice that was made available. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 11 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): 18 The home makes sure as far as possible that residents are protected from abuse. Standard 16 was looked at on the previous inspection and was met. EVIDENCE: There is Vulnerable Adults policy and procedure within the home. Staff have completed BANEs Protecting of Vulnerable Adults training and the manager has also undertaken Investigators training. In talking with a member of staff they had clear and good understanding of the risks of abuse and the potential for abuse particularly that which can take place when providing care to residents. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 12 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): 26 The home provides a clean and pleasant environment for residents. Standard 19 was looked at on the previous inspection and was met. EVIDENCE: The home has procedures in place to make sure staff that staff follow infection control methods. Some staff have undertaken infection control training. At the time of this inspection the home was clean and free from offensive odours. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 13 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 Standards 29 & 30 were looked at on the previous inspection and were met. The home provides the required level of staffing to make sure that the needs of residents are met in a safe and competent way. EVIDENCE: Staffing rotas showed that staff available to residents was appropriate. Rotas over the previous 4 weeks provided 3 staff AM, 2 staff PM (2-10pm), with 1 waking and 1 sleep-in member of staff. There are senior care staff that have completed NVQ 3 qualification. The manager works daily Mon-Fri. Residents stated that they only have “to ask and staff will help”, “always around to help me” Quality Care Homes places particular importance on staff completing NVQ professional qualification and all of the care staff have NVQ 2 or 3. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 14 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, 35, 38 The manager of the home is well qualified and competent to manage the home and makes every effort to ensure that residents receive a good quality of care. The home provides an environment where residents are able to express their views and their welfare as far as possible. EVIDENCE: Mrs Musson has been the manager of the home for two years having previously been the deputy of the home. She has extensive experience of working in a care home. She has NVQ 4 Registered Manager award and is also a staff trainer for Quality Care Homes. In observing Mrs Musson with residents and staff it was evident that she has an open and approachable manner and make every effort to have a real understanding of the needs of the residents of the home. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 15 Residents spoke of her in positive way “friendly, can always talk to her” “ will always tell her if I am unhappy about anything”. Staff also confirmed this and they spoke of one of the strengths of the home being that “we all work as a team”. Residents are given opportunity to voice their views and make suggestions about the care offered at the home through regular residents’ meetings and by the use of questionnaires. Relatives are also asked their views and a number of questionnaires were looked at that had been completed by relatives. Comments made included: “not just a ‘residence’ but a kind and caring home”, “residents always being treated with the utmost respect”, “staff always friendly”, “home is run in a very caring, friendly, reliable and professional manner”. Importantly there were also negative comments, which reflect the openness that is encouraged by the home. The manager when asked about a specific statement, namely lack of stimulation in the home, recognised that visitors to the home could perceive this. Changes have been made over the past year in that there is now a specific member of staff who organises activities. The home’s policy is not to manage individual’s financial affairs but will support residents to do so if they need assistance. Items or services purchased by the home on behalf of residents are recorded in Residents Cash Sheets, which were seen. Where money is paid out or given receipts are obtained and if able residents signed for items or if not able two members of staff sign to evidence money paid out. Records relating to health & safety practice in the home were seen. They showed regular maintenance of equipment: lift 12-08-05,fire equipment 2104-05, fire alarms and emergency lighting 10/06/05, bathing equipment 22/05/05. This maintenance takes place generally on a yearly basis. Electrical installation tested 17/09/04 (recommended 5 yearly) gas safety 21-01-05 previous 23-02-05. Weekly check of fire alarms takes place, with monthly checks emergency lighting and visual of equipment. Safety Data sheets are held giving advice about the use and handling of potential harmful chemicals and the home maintains a COSHH file. Risk assessments have been completed and reviewed on a number of areas including the home environment, use of chemicals and fire risk assessment. Each resident has risk assessment about the covering of radiators in their own rooms but these not completed for communal areas, particularly bathrooms. Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 16 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 X X X X 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 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 17 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. 1 Standard OP38 Regulation 4 (a) Requirement Undertake risk assessments in relation to uncovered radiators in communal areas, particularly bathrooms, and regularly review these assessments. Timescale for action 25/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Whitehaven DS0000045883.V257250.R01.S.doc Version 5.0 Page 18 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.V257250.R01.S.doc Version 5.0 Page 19 - 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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