Inspection on 20/12/05 for Whitehaven Care Home

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Care Home 09/05/07

Whitehaven Care Home 25/09/06

Whitehaven Care Home 05/07/05

Whitehaven Care Home 17/11/04

Whitehaven Care Home 10/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Whitehaven Care Home 22 Whitehaven Horndean Portsmouth Hampshire PO8 0DN Lead Inspector Mr Ian Craig Unannounced Inspection 20th December 2005 10:30 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 Care Home DS0000011581.V272590.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 Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitehaven Care Home Address 22 Whitehaven Horndean Portsmouth Hampshire PO8 0DN 023 9259 2300 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) Mr Roland Fiford Ms Beverley Walton Ms Beverley Walton Care Home 15 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (15), Old age, not falling within any other of places category (15) Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A total of three service users in the DE category may be accommodated at any one time. Service users in the DE category must be at least 60 years of age. Date of last inspection 17th November 2004 Brief Description of the Service: Whitehaven is situated in a quiet residential area of Horndean. The home is registered with the Commission for Social Care Inspection (CSCI) and provides accommodation for 15 older people many of who have dementia. The home does not offer any nursing. All service users have their own room and there is a pleasant rear garden where service users can sit out in the warmer weather. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home’s manager assisted the inspector. Five residents were interviewed during the visit. Records, policies and procedures and other documents were examined. Most of the home’s physical environment was seen. This report should be read in conjunction with the previous report. What the service does well: What has improved since the last inspection? The home ensures that any resident referred to the home for possible admission has a full assessment of needs. Additional measures have been regarding the safety of residents when leaving the building. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 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 Care Home DS0000011581.V272590.R01.S.doc Version 5.0 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 Care Home DS0000011581.V272590.R01.S.doc Version 5.0 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 A full assessment of need is carried out before agreeing to accommodate a person referred for possible admission. This helps ensure that the home only accommodates those whose needs can be meet. EVIDENCE: Records were examined for a resident recently admitted to the home. The manager had carried out a full assessment of the person’s needs before agreeing to admit the person to the home. This involved visiting the person in hospital, as well as obtaining copies of hospital assessment and discharge notes. It was clear that the manager has a comprehensive knowledge of the person’s needs, family links, history and health. A care plan had been completed shortly following admission to the home and it was clear that the resident’s needs were being closely monitored during the initial period of the placement. The inspector was able to interview this person. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 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 the following standard(s): 7,9 and 10 Medication procedures were found to be satisfactory with the exception of the security of prescriptions and the procedure for liaising with general practitioners regarding the changes to medication. The home promotes the privacy and dignity of the residents. EVIDENCE: Care plans are devised shortly after a resident is admitted to the home. These refer in detail to the person’s various needs and include monitoring charts for fluid intake and nighttime welfare. The home uses a monitored dosage system to administer medication. Examination of the medication administration recording sheets and the blister packs showed that the system of dispensing medication was satisfactory. General practitioners had recorded and signed the medication record sheets indicating any changes to medication when assessing a resident at the home. On occasions, the home liaises with the general practitioners by telephone regarding medication issues. A record is made of this, as well as any instructions by the general practitioner to change the medication regime. It was noted that the home does not request written confirmation of these medication changes from the general practitioner. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 10 A prescription was not held securely. Staff have received training from a variety of sources in medication matters. This includes training from the pharmacist, local colleges and a private training agency. Residents described the approach of the home and its staff as one of respecting their dignity. One resident stated that the staff will do “anything to help you.” All bedrooms are single and residents are able to have a key to their bedroom door if they wish. Residents were observed using the communal areas or the privacy of their bedroom. Several residents have their own telephone connection in their bedroom. There is also a cordless telephone so that residents can have privacy when making a telephone call. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Residents live in a home that provides stimulation and activities. There is frequent contact with community groups and residents are able to receive visitors. Choice and control over their own lives is promoted for the residents. Whilst residents described the food as good, the midday meal on the day of the inspection could have been better. EVIDENCE: Residents were observed taking part in activities provided by an outside agency. Several residents have their own newspaper delivered to the home and were seen reading them after the midday meal. One resident described how she maintains the home’s library and confirmed that the council mobile library regularly visits the home to provide books. This same resident also spoke of how she has been able to pursue her hobby of gardening in the home. This involves weeding, planting bulbs and making decisions with the gardener about pruning and maintenance. Several bedrooms on the first floor have a balcony and two residents described how bird feeders have been erected and how much they enjoy watching the various birds feeding. The manager described visiting arrangements as flexible and several residents described how they maintain family links with relatives visiting the home. A resident described how she spends time at her relatives’ homes. Community transport facilities are arranged to take residents to events and entertainment Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 12 in the local area, although the manager stated that the residents were often reluctant to leave the home. Carol singers and a local vicar visit the home. It was clear from discussion with the residents that there is a choice of how they like to spend their time. Various items of personal possessions were evident in bedrooms. The midday meal was observed being served. The home only had dining room seating for ten residents. Better use of the available communal space is also raised in standard 19 and 20. Meals were plated and taken to residents at the dining table, which was set with napkins. In the view of the inspector the meal did not look appetising and was small in size for a main meal. The meal was: sliced ham, a poached egg, 2 or 3 potato croquettes and a portion of tinned tomatoes. There were no fresh vegetables with the meal. Dessert was apricots and custard. The manager acknowledged that the meal did not appear to be of a good standard but stated that it was one meal that the residents specifically requested. Each of the residents spoken to described the food as “good” and that an alternative choice is provided if a resident does not like the food provided. The home’s menu plan and food records showed a varied and nutritious diet. Fresh fruit was available in the kitchen. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Steps are taken to ensure that the home safeguards residents’ well being. EVIDENCE: The home has policies and procedures regarding the protection of older persons and for dealing with any suspected abuse. Staff are provided with training in adult protection by the local authority. There are also policies and procedures for dealing with any aggressive behaviour on the part of residents, and staff are instructed on “diffusion” techniques. The home liaises effectively with local mental health services when incidents of aggression occur. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 14 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, 20, 24, 25 and 26 Whilst the home is decorated to a good standard, use of the communal areas could be improved. On the day of the inspection the home was not sufficiently warm. Adequate measures had not been taken to protect residents from hot surfaces. The home was clean and free from any offensive odours. EVIDENCE: As required by the previous inspection report additional measures have been taken by the home to safeguard residents from risks linked to going out alone. The communal lounge and dining area appeared cramped. Dining room seating was provided for only 10 people and the available space in the lounge was restricted due to the presence of an administrative workstation containing filing and other paper work, as well as a table with Christmas items. The home is comfortable, homely and decorated to a good standard. Several residents’ bedrooms were seen and these were comfortable, containing numerous items of personal possessions. Residents confirmed how much they like their bedroom. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 15 It was noted that several areas of the home were not warm enough. The manager stated that there was a problem with the gas boiler, which was being rectified. All of the radiators seen in the communal areas were switched ‘off,’ including the bathrooms and toilets. These radiators were also not covered to protect residents from possible burns. This has been a national minimum standard since 1st April 2002. Radiators in bedrooms were covered. A hot water tank, contained in a cupboard, was also accessible to residents, posing a risk of possible burning. The home was found to be clean and free from any offensive odours. There are clearly displayed procedures for dealing with hygiene control, such as the cleaning of commodes and possible contact with body fluids. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 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): None of the standards in this section were assessed at this inspection. EVIDENCE: Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 17 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): 38 Measures are taken to ensure a safe environment with the exception of the unguarded radiators and numerous omissions in the weekly testing of the fire alarm. EVIDENCE: All staff receive training the following: moving and handling, first aid and food hygiene. There is “in house” training in infection control. The inspector highlighted that it would be beneficial to have at least one staff member who has received formal training in this area. Certificates were available to show that all the home’s appliances and equipment were being tested and serviced on a regular basis, such as the gas heating, electrical wiring, electrical appliances, starlift, fire alarms and extinguishers. The fire logbook showed that the fire safety equipment was being tested regularly with the exception that the alarm was not being tested each week as required by fire safety regulations. Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 18 Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 19 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 X 9 2 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 X 17 X 18 3 2 2 X X X X 2 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 X X X X X X X 2 Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 20 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 OP9 Regulation Requirement 13(2) When a general practitioner changes a resident’s medication by verbal order this must be followed up by the home obtaining confirmation of this in writing from the general practitioner. Prescriptions must be securely stored. 23(2)(p) 13(4) The home must maintain the heating system and ensure there is an adequate air temperature. The following health and safety measures must be taken: • Protecting residents from hot radiators and hot surfaces by the provision of radiator covers and by locking the door to the cupboard containing the hot water tank • Where radiator covers are not installed this must be supported by written risk assessments • Weekly testing of the fire alarm 20/01/05 2 3 OP25 OP38 20/01/05 20/01/05 Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 21 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 20 Good Practice Recommendations Better use of the available communal space should be made by the removal/resiting of the workstation in the lounge. Sufficient seating for meals should be provided. A designated staff member should attend formal training in infection control. 2 38 Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 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 Whitehaven Care Home DS0000011581.V272590.R01.S.doc Version 5.0 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!