Inspection on 21/08/07 for Whiteladies Residential Home

This inspection was carried out on 21st August 2007.

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

Whiteladies Residential Home 03/07/06

Whiteladies Residential Home 24/11/05

Whiteladies Residential Home 18/05/05

Whiteladies Residential Home 01/03/05

Whiteladies Residential Home 01/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Whiteladies Residential Home 22 Redland Park Redland Bristol BS6 6SD Lead Inspector Vanessa Carter Key Unannounced Inspection 21st August 2007 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 Whiteladies Residential Home DS0000051206.V340795.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. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whiteladies Residential Home Address 22 Redland Park Redland Bristol BS6 6SD 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) 0117 9739083 0117 9237662 Whiteladies Residential Home Ltd Post Vacant Care Home 25 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (2), Old age, of places not falling within any other category (23) Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to two persons with a Mental Disorder over 65 years of age 3rd July 2006 Date of last inspection Brief Description of the Service: Whiteladies Residential Home is a privately owned residential care home, registered by The Commission for Social Care Inspection to provide personal care to twenty-three older people and two older people with mental health needs. It is situated in a busy urban area in the city of Bristol and can be accessed by car or bus. The home is a converted older property providing single room accommodation on three floors, all of which can be accessed by a lift. A suitable number of bathrooms and toilet are available and have been adapted to meet the care needs of people in the home. Each room has an alarm call system. The home is situated in its own grounds with gardens to the rear. Visitors are welcome at any time and refreshments are readily available. In-house activities and entertainments are also provided. The cost of placement at the home currently ranges between £359 - 550 per week, depending on individual need. Various additional charges are made for hairdressing, chiropody, newspapers and any excursions. The home has a brochure that details the services and facilities available, and this can be provided to anyone enquiring about living in the home. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was unannounced and took place over one day – 6 hours were spent in the home. Evidence to form the report has also been gathered from a number of other sources:• Information provided by the Home Manager in the Annual Quality Assurance Assessment (AQAA) • Talking with the home manager during the inspection • Talking with some of the care staff and ancillary staff • Observations of staff practices and their interaction with the residents • A tour of the home • Case Tracking the care of a number of residents • Talking with a number of the residents • Talking with a regular visitor to the home • Looking at some of the homes records • Information supplied by residents and relatives in CSCI survey forms • Information supplied by a GP and one other healthcare professional What the service does well: The homes admission procedure ensures that placement is only offered to those whose needs can be met. Prospective residents are provided with information about the home. Residents will be well cared for and can be assured that their needs will be met at Whiteladies Residential Home. Residents benefit from living in a home where they are encouraged to maintain an independent lifestyle and are provided with good food. Residents and their relatives can be assured that any concerns or complaints they have will be listened to and acted upon. Residents live in an elegant home that is safe, well maintained and very comfortably furnished. Residents live in a home that is well managed and run in their best interests. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Whiteladies Residential Home DS0000051206.V340795.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 Whiteladies Residential Home DS0000051206.V340795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes admission procedure ensures that placement is only offered to those whose needs can be met. Prospective residents are provided with information about the home. EVIDENCE: The homes Statement of Purpose contains all the necessary information for a prospective resident and/or their representative to make an informed choice about moving to the home. The document is due to be reviewed and will then reflect the recent changes in the home manager. There is also a service users guide that details the services and facilities available at the home. In addition the home have an advertising brochure complete with photographs taken around the home, enabling the reader to get a full impression of the home. All these documents are located in the main reception area of the home, and the brochure is given to potential residents who enquire about the home or who visit. Eight residents returned CSCI survey forms and said that they had had enough information about the home prior to moving there Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 9 All newly admitted residents are provided with a “Contract of Residence”. Of the eight residents who returned CSCI survey forms, seven stated they had been provided with a contract. One new resident spoken to during the inspection confirmed these arrangements. Pre-inspection information provided by the home manager stated that before a resident is admitted to Whiteladies, they carry out a home or hospital visit to undertake an assessment, and ensure that the home is able to meet the person’s needs. The home retain no records of these assessment visits however, one new resident confirmed that they had been visited by the manager, prior to coming to live at the home. It would be good practice for the home to retain these records for their own information, and in order to fully meet standard 3 of the care homes regulations. Where possible, visits to the home are encouraged, so that the prospective resident can have a look around and sample the facilities. Some people are invited to stay for lunch during their visit and to meet the other people. One resident said they had visited to have a look around although “I previously had a friend who lived here so I knew the home”, whilst another said that their daughter had made the necessary arrangements. All new placements are arranged on an initial four-week trial basis, with a review meeting being held at the end of this period. Whiteladies Residential Home DS0000051206.V340795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents will be well cared for and can be assured that their needs will be met at Whiteladies Residential Home . EVIDENCE: Three care plans were looked at including one for a newly admitted resident. The plans were very detailed, were simply written and covered a comprehensive range of needs. As part of this process the homes records “factors that aid contentment” this showing that each resident is treated as an individual with differing set of needs. Although the support each person requires is detailed, specific information regarding any moving and handling procedures is not recorded. The home must record a “safe system of work” for those residents who need assistance with tasks such as bathing. This will safeguard both resident and staff member from incurring any injury due to lifting procedures. The plans evidenced that the resident was involved in the process, as they contained information about how they would like their needs to be met, and in some instances have been signed by the resident. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 11 The home maintains a record of all contacts with GP’s and other healthcare professional. Some of the residents are able to take themselves of the GP surgery as necessary and one resident said “I like to remain as independent as possible”. Six of the eight residents who returned CSCI survey forms, stated that they always got the medical support they needed, whilst the others said they usually did. The residents are registered with a number of different GP’s – arrangements for them to visit are made on an “as and when needed” basis. District Nursing Services visit the home as and when necessary. One GP wrote on a CSCI survey form “I rate this home as having good standards of care”. A healthcare professional said “the home enhances the life of the residents, deals with challenging behaviours well, and has a genuine care ethos”. The homes systems for the ordering, receipt, storage, administration and disposal of medications are safe and follow good practice guidelines. One member of staff has delegated responsibility for the medication systems. A number of the residents have retained responsibility for their own medications, and the home have the appropriate systems in place to ensure that medicines are safely stored and the residents ability to self-medicate in kept under review. Residents commented favourably in both CSCI survey forms and in person during the inspection, saying they felt they were treated well and that the carers were “kind and helpful”, “were polite and respectful” and one relative commented, they “have made a home for my relative”. One resident said “ I have nothing to grumble about”. The staff were observed going about their duties in a friendly and calm manner. Visitors were welcomed and it was obvious that they had a good relationship with the staff team. Staff helped the residents courteously and respectfully. Whilst the care provided at Whiteladies does not include nursing care, the staff would endeavour to look after any resident who became unwell or who was dying. They would ensure that district nursing services and other healthcare professionals were involved as necessary, in that persons care and would be guided by their instruction. The home manager talked about a number of occasions where they have been able to look after long-term residents until their death. Whiteladies Residential Home DS0000051206.V340795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home where they are encouraged to maintain an independent lifestyle and are provided with good food. EVIDENCE: The majority of residents are independent and able to continue to take an active part in activities outside of the home. They are able to come and go as they please. A number of residents go along to a local luncheon club, whilst others attend the local church or go along to a card club. Most prefer to spend their time in their rooms therefore the communal rooms are not used as much as they could be. Since the inspection last year, there has been a significant change in the resident group, with the residents now being ‘much more active’ both physically and mentally. The home has an extensive supply of jigsaw puzzles and some board games. The staff are open to suggestion in what activities to arrange and have already organised a visit to the zoo for the next month, after consulting with the residents about where they would like to go. A hairdresser visits the home on a weekly basis. The home has an open visiting policy and visitors are able to call at any reasonable time. From observing the interaction between one regular visitor and the staff it is evident that the home see the input from friends and Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 13 relatives as being important to the overall care of the resident. Family members joined one resident for lunch on the day of inspection. Residents are able to make choices about how they spend their time, what time they would like to get up and retire and where to take their meals. The home has a four-week menu plan, copies of these are provided in all bedrooms and in the dining room. The manager placed a book in the dining room so that particular meals could be requested, and the home has used this information to make changes to the menus. One resident said “I did not enjoy the meal today, and I was asked if I liked it. I said No”. The main meal at lunchtime is set but alternatives can always be provided upon request. The staff are aware of each residents likes and dislikes. Breakfasts are served in the resident’s own bedroom and most of the residents have their lunch in the dining room. Of the residents who responded in the CSCI survey some said the meals were always good, whilst the remainder said they usually were. The home now has two cooks who each cover part of the week. Whiteladies Residential Home DS0000051206.V340795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be assured that any concerns or complaints they have will be listened to and acted upon. Staff must be clearer about adult protection issues to ensure that residents are safeguarded from any harm. EVIDENCE: The homes complaints procedure is included within the statement of purpose, a copy given to each resident and also displayed throughout the home. A copy of the procedure is also displayed on the notice board in the dining room. All residents and relatives who responded in the CSCI survey forms said that they knew what the homes complaints procedure was. One resident said “ I have nothing to grumble about”, and another said “the staff always listen to me and do what I ask, if it is possible”. There has been only one formal complaints made to the manager since the last inspection, CSCI were only involved in giving advice. This complaint was appropriately handled and resolved. The home manager has attended the local authority Protection of Vulnerable Adult (POVA) training in the past, but before she became the manager. She now needs to increase her knowledge of safeguarding adult issues so that she is fully aware of her responsibilities towards those residents in her care. After discussion with one staff member, and then the manager and proprietor, it seems as if the homes ‘whistleblowing’ policy is not always followed. This policy should ensure that if a staff member raises concerns about the actions of another, the appropriate action should be taken. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 15 Four staff spoken with during the inspection demonstrated a good awareness of their role, and the responsibility they have in safeguarding the residents from any harm, however this very much relied upon the home manager in taking the lead role in reporting any incidences to the relevant departments. For this reason, I am making a requirement that the home manager undertakes further training in safeguarding adult issues, and re-supplies each staff member with a copy of the POVA and whistleblowing procedures. Regardless of having made these requirements and recommendations, there are no suggestions that the residents of Whiteladies are at any risk of harm. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an elegant home that is safe, well maintained and very comfortably furnished. EVIDENCE: Whiteladies Residential Home is a period, detached building, sited in the leafy suburbs of Redland in Bristol. It is within walking distances to a full range of shops and bus services to many other areas of the city pass the end of the road. It is an imposing property and accommodation is arranged over four floors. The home is well maintained throughout and suited to residents needs. Disabled access is available via the lower ground floor. There is a five-person lift available in the home so residents can access each floor. There is one short stair lift between a half-landing, and the main landing. The home is decorated and furnished to a good standard, creating a comfortable and homely atmosphere. The hallway is due to be redecorated soon to repair the “knocks and scrapes of daily living”. Bedrooms are generally redecorated in between residents. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 17 There are two lounges – the larger lounge being referred to as the quiet lounge and the other the TV room. The home manager explained that the television is generally on in this room all day, with some residents staying in the room all day and others just using the room to watch specific programmes and socialise with the other residents. There is one dining room with a magnificent stained glass window, set up with tables for four – the majority of residents take their midday meal in the dining room but can choose to have their meal served in their own bedroom. The dining room leads out to a pleasant patio furnished with tables, umbrellas and potted plants. A range of disability equipment is located throughout the home but the home is really only geared up for the active or semi-active older person. Equipment includes grab rails, bath seats, one small stair lift and a full passenger lift. Minimal moving and handling equipment is available, although the home can access additional equipment for “short term use”. There are two communal bathrooms - the one in the basement floor has a bath fitted with a swivel bath seat, and on the top floor there is shower room complete with seating and grab rails. All but one of the bedrooms has en-suite facilities – some will have just a toilet and wash hand basin whilst others have either a shower or a bath. The bedroom without an en-suite has a dedicated bathroom along the corridor. There are more that enough bathing facilities for the residents. The home has 21 single bedrooms and two shared rooms – these are both currently being used by just one resident each. The majority of residents’ bedrooms were seen during the course of the inspection - the rooms are each pleasant and have been personalised with the residents’ own personal possessions and belongings. Lockable drawers are provided in each room, meaning that residents are able to safely secure any valuables or their medications, should they be responsible for their own medications. Those bedrooms on the lower ground floor have French windows that open out onto the garden. The home was spotlessly clean, tidy and smelt fresh throughout, on the day of inspection. The domestic worked diligently throughout the inspection, “ they always keep everything so beautiful” was one comment made by a resident. The home has regular domestic support – the eight residents who returned CSCI survey forms said that the home was always clean and tidy. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes recruitment practices ensure that residents are safely cared for by suitable staff but improvements must continue with staff training. EVIDENCE: The home currently has only 15 people in residence. On the day of inspection there was one senior care assistant, and three care staff on duty. The manager explained that this is appropriate in meeting the care needs of the current residents. At night, there are two carers but one only provides “sleepin cover” from 10pm. Of the eight residents who responded in the CSCI survey forms, two said that there was always staff available when they needed them, with the remaining stating this was usually the case. Observations made during the course of the inspection were that staff attended promptly to resident’s individual needs and requests for assistance. The care staff are supported in meeting the residents daily living needs by catering and domestic staff. The home continues to make progress in achieving a 50 ratio of trained members of care staff. There are currently three care staff with an NVQ Level 2 in care (23 ) and four others are working towards the award. When they have completed, they will have a 54 ratio of trained members of staff. The staff files of seven staff members who have been recruited since the last inspection were examined. The home have followed robust recruitment procedures and all staff have been properly vetted. Each employee had Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 19 completed an application form and then attended for interview. The home had obtained two written references from previous employers, and had received CRB disclosures. Staff did not start work at the home until after the home had obtained proof that the worker was not included on the POVAlist. New staff confirmed that they received an induction-training programme when they started work at the home, and that they felt well supported by the staff team. Examples of issues covered during the induction period include first aid, fire training, moving and lifting, and food hygiene. One new carer said that they had been allocated a ‘mentor’ when they first started and had not worked on their own until they felt comfortable to do so. New staff have a threemonth probation period and their work performance is reviewed at the end of this time before being confirmed as a permanent employee. Staff training files evidenced that the team have only received training in mandatory subjects – for example manual handling, first aid, safe medication administration, and fire procedures. There was only very minimal evidence of training in any other relevant subjects. The home manager only officially took over duties at the beginning of August and plans to ensure that “staff training sessions” will be arranged on a weekly basis. The homes progress in achieving this will a focus of future inspection visits and monitoring of the home. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is well managed and run in their best interests. EVIDENCE: Since the last inspection the home manager of 12 years duration has left and the deputy manager has been appointed to the position of home manager. She has already started the application for registration process with CSCI and has signed up to start an NVQ 4 in management course in September. She has many years experience in the care profession and has already achieved an NVQ level 2 and 3 in care. In effect she has been holding the fort at Whiteladies for many months and has been managing the home very well. A deputy manager and three senior carers support the manager in this role. The manager has a very “hands-on” approach and is very involved with the day-to-day care of the residents and works alongside the staff team. Staff meetings and residents meetings are held on a regular basis and there was Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 21 evidence that everyone is encouraged to make suggestions about how the home is run and what happens. Examples of this are the menus and the meal changes, and plans for increasing the amount of social activities that are arranged in-house. The manager states in their annual quality assurance assessment that they have an ‘open door’ management style, with clear lines of accountability, and this was backed up by observations and evidence gained through the inspection process. The manager completes regular audits of the home in respect of health and safety and food hygiene but the reports were not seen on this inspection. The home recently undertook a quality assurance survey in June 2007 but the results from this have yet to be analysed. The manager explained that a development plan will be formulated for the home and that this survey has involved the opinions of residents, their families and the staff. It is expected that this plan will be completed by the end of September. The home has taken the appropriate action in respect of the requirement notices issued following the last inspection. The proprietors are regular visitors to the home, and take a keen interest in the residents’ welfare. The home has good systems in place to manage any monies they hold on behalf of the residents. A number of the accounts were checked against the records held and they tallied. Only senior members of staff hold the key to access resident’s money. Staff confirmed that they have formal supervision with the home manager on a regular basis, but the records were not available for inspection. Work performance and training needs are discussed during a supervision session. A senior member of staff supervises staff on a daily basis, and in general, the staff team spoke of a good team approach to the care of the residents. All records (apart from the notes of staff supervision sessions) required to be available for inspection were produced as requested. A visitor’s book is placed in both entrances to the home and visitors are asked to sign in and out. Resident’s information is kept secure in a locked cupboard. The fire records were examined. All the necessary weekly, monthly and quarterly checks had been completed. All staff are due to receive their fire training updates– this is slightly overdue but the manager has the task in hand. Fire drills are organised on a regular basis. Any maintenance tasks required in the home are arranged on an “as-andwhen-required” basis. The home looked well maintained throughout. Staff have all received manual handling training however confirmed that there is only a minimal need to lift residents, as part of their general daily duties. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 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 2 3 3 3 3 3 3 3 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 3 3 X 3 3 3 3 Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 23 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 OP18 Regulation 13(6) Requirement The home must ensure that the residents are safeguarded from harm or placed at risk of harm: The manager must attend local authority POVA training so as to be aware of locally agreed protocols. Care plans must include specific details regarding the level of moving and handling assistance, so that a safe system of work is devised. Timescale for action 21/10/07 2. OP7 15 and 13(5) 21/09/07 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 OP3 Good Practice Recommendations The home must retain evidence of pre-admission assessment visits. Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 24 2. OP18 All staff to be issued with the POVA and the Whistle blowing policies. The home to retain evidence of having done such. The home should continue to achieve the ratio of 50 trained members of staff who hold an NVQ Level 2 qualification. Supply CSCI with a report following the annual quality survey and any development plan devised. Staff supervision records must be available for inspection. 3. OP28 4. 5. OP33 OP36 Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Whiteladies Residential Home DS0000051206.V340795.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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