Inspection on 15/02/06 for Whitehouse

This inspection was carried out on 15th February 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

Whitehouse 09/02/09

Whitehouse 20/02/07

Whitehouse 07/06/05

Whitehouse 18/01/05

Whitehouse 16/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Whitehouse Leesons Hill Orpington Kent BR5 2NH Lead Inspector Lorraine Pumford Unannounced Inspection 15 February 2006 14.00p 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 Whitehouse DS0000006894.V258461.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. Whitehouse DS0000006894.V258461.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitehouse Address Leesons Hill Orpington Kent BR5 2NH 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) 01689 876 267 Mrs Susan Margaret Lingham Mr Kenneth Lingham Mrs Susan Margaret Lingham Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Whitehouse DS0000006894.V258461.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 Elderly persons of either sex within the category old age Date of last inspection 7th June 2005 Brief Description of the Service: White House is a care home registered to provide a service for up to three older people. The home is a detached eight-bedroom house in an elevated position set back from a busy main road. There is a steep paved driveway to the front of the house and easier access to the side of the property. All service users accommodation is on the ground floor. Each service user has a bedroom and access to two toilets and one bathroom with walk-in shower. There is a sun lounge at the back of the house overlooking the secluded back garden, which is the communal seating area for service users. The home admits service users who wish to smoke. Mr & Mrs Lingham were registered by Bromley Local Authority in 1992 as approved care providers with the Adult Home Finding Scheme and they continue to provide care within their own home. Whitehouse DS0000006894.V258461.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by one inspector who was in a home for approximately 1 1/2 hours. The homeowners assisted with the inspection. Both service users were spoken with in the privacy of their own bedrooms and their comments have been incorporated into this report. Some records and parts of the premises were inspected. All Registered Care Homes receive a minimum of two inspections within a 12 months period, the previous inspection concentrated primarily on the service users and their opinions of the service provided, as this inspection may not have covered all the “National Minimum Standards” in sufficient depth, should further information be required, it is recommended that a copy of the last inspection report also be obtained. What the service does well: What has improved since the last inspection? Since the last inspection the homeowner has developed a clear contract for the privately funded service user accommodated. This sets out the service users terms and conditions of residency and both partys rights and responsibilities. This contract has been signed by the homeowner and the service users representative. Action has been taken to ensure medication is housed in a locked cupboard. Whitehouse DS0000006894.V258461.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. Whitehouse DS0000006894.V258461.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 Whitehouse DS0000006894.V258461.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): 2 Service users can be assured that their residency will be protected by an appropriate contract. EVIDENCE: Since the last inspection the home owner has developed a contract for a privately funded service user, this clearly sets out the service users terms and conditions of residency and both parties rights and responsibilities. A contract between the funding agency and the homeowner is in place for the other service users accommodated. Whitehouse DS0000006894.V258461.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): 9, All of these standards were inspected during the previous inspection and therefore not inspected again on this occasion. EVIDENCE: The homeowner stated that action was taken at the time of the previous inspection to secure the medication cupboard by removing the key from the lock. Whitehouse DS0000006894.V258461.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): 14,15 Service users are able to choose how and with whom they spend their time. EVIDENCE: Both service users bedrooms are individually personalised. One service user that spoke with the inspector stated that he enjoyed listening to the TV and radio in his bedroom. One service user stated he particularly liked watching sport on TV and was currently enjoying the Winter Olympics. One service user stated that he was unable to go out independently, however relatives frequently visit to take him for a ride in the car and a pub lunch. The other service user stated that he uses the local bus service to go into Orpington. Although this is less often at present due to the cold weather. The homeowner stated this gentleman is also able to call into the social services department and meet with his care manager when he wants to. A requirement was made at the time of the previous inspection that the homeowner kept a record of food provided to service users. The homeowner stated this had resulted in service users records being filled up with details of food, she has therefore decided to only record details of food if the meal provided is different to that on the menu, this is an acceptable practise. Whitehouse DS0000006894.V258461.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): Both of these key standards were inspected during the previous inspection and therefore not inspected again on this occasion. EVIDENCE: Whitehouse DS0000006894.V258461.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): 19,20 Service users are provided with a clean comfortable environment that meets their current needs. EVIDENCE: All service users’ accommodation is on the ground floor. Both service users are accommodated in single bedrooms, with shared bathroom, which benefits from a large walk-in shower with seat. There is a large lounge/dining room suitably furnished for the purpose, which overlooks the rear garden. The home admits service users who wish to smoke, one of the service users spoken with stated he is able to smoke in his bedroom. An ashtray was seen to be provided in his room for this purpose. Whitehouse DS0000006894.V258461.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): 30 The homeowners have a number of years experience providing care to older people. A family member who works in the home holds an NVQ2 certificate. EVIDENCE: Key standards 27 and 29 were inspected during the previous inspection and therefore not inspected on this occasion. The homeowners have not employed any staff requiring an induction period. The homeowner has employed a relative to work part-time in a home for a number of years and this person holds an NVQ two in care. Since the last inspection the homeowner stated she has attended a course regarding the Data Protection Act (See standard 38) re: statutory health and safety training. Whitehouse DS0000006894.V258461.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): 33,35,38 Service users living in the home can be sure the people caring for them have received training to promote sound health and safety practises in the home. EVIDENCE: The homeowner stated the home has no formal quality assurance mechanisms in place due to the small number of service users accommodated and the length of time they have resided in the home. However London Borough of Bromley, who has placed a service user in the home, monitors the quality of care in the home. The homeowner stated that the privately funded service user has his financial affairs managed by a representative who provides clothing and toiletries etc and additionally sends an agreed sum of money to the homeowner for the purposes of purchasing the service users favourite drink. Whitehouse DS0000006894.V258461.R01.S.doc Version 5.0 Page 15 The second service user accommodated has his financial affairs managed by the placing agency and receives only the national statutory personal allowance, in this instance the homeowner pays for items the service user requires and is subsequently reimbursed by the local authority. General discussion took place regarding health and safety issues in the home. The homeowner stated that is not necessary for either herself or her husband to have manual handling training as neither of the service users accommodated require this level of care. The homeowner stated that she has attained a food hygiene and first aid certificate. The homeowners have installed smoke detectors, a fire blanket and three fire extinguishers. Whitehouse DS0000006894.V258461.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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 X X X X X X 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 X X 3 X 3 X X 3 Whitehouse DS0000006894.V258461.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. 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 Whitehouse DS0000006894.V258461.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Whitehouse DS0000006894.V258461.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. 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!