Inspection on 12/01/06 for Whiteley Bank House

This inspection was carried out on 12th January 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

Whiteley Bank House 06/07/07

Whiteley Bank House 14/11/06

Whiteley Bank House 20/09/05

Whiteley Bank House 24/02/05

Whiteley Bank House 09/09/04

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 Whiteley Bank House Whiteley Bank Newchurch Isle Of Wight PO38 3AF Lead Inspector Janet Ktomi Unannounced Inspection 12th January 2006 11:30 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 Whiteley Bank House DS0000012556.V263827.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. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whiteley Bank House Address Whiteley Bank Newchurch Isle Of Wight PO38 3AF 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) 01983 867541 01983 863378 Mrs Daphne Zosha Hayles Mrs Daphne Zosha Hayles Care Home 12 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (12), of places Physical disability over 65 years of age (2) Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home has one person under the age of 65 years admitted temporarily for respite care. 20th September 2005 Date of last inspection Brief Description of the Service: Whiteley Bank House is a home providing care for up to twelve older people. The home is privately owned and managed by Mrs Daphne Hayles. It is situated in the village of Whiteley Bank between Godshill and Shanklin. All amenities are available in Shanklin, approximately one mile away. The home is a two storey detached former coach house set in substantial grounds. There is off road parking to the front and level access into the building. The home has a mixture of single and double bedrooms, one with en-suite facilities. There is a passenger lift to access the upstairs. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection of this inspection year; the remaining core and a number of additional standards were assessed. The inspection was undertaken on a weekday and lasted four and a half hours during which a tour of the building was undertaken. Discussions were held with the proprietor/manager, staff on duty, a visitor and people living at the home. Residents stated that they enjoyed living at the home; the food was excellent, they liked the care staff and could discuss any concerns with the proprietor/manager. Residents, the visitor and staff stated they would recommend the home to a relative or friend in need of residential care. Care and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? Over the past year the entire home has been redecorated. New washable, nonslip flooring has been provided in two bedrooms. The boiler was replaced in July 2005 along with a new gas fire in the dining room. The kitchen has been completely refitted with new kitchen appliances. The manager has now identified a suitable sluicing sink to be fitted into the unused ground floor shower room. New staff, who have NVQ qualifications, have been appointed who are due to commence employment in the weeks following the unannounced inspection. Whiteley Bank House DS0000012556.V263827.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. Whiteley Bank House DS0000012556.V263827.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 Whiteley Bank House DS0000012556.V263827.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): 1, 2, 3, 4 and 5. The home provides appropriate information to prospective residents or their representatives prior to admission. All residents are assessed prior to admission to ensure that the home can meet their needs. Prospective residents and/or their representatives have an opportunity to visit the home and assess the quality, facilities and suitability of the home. Standard 6 is not applicable to the service as intermediate care is not provided. EVIDENCE: A copy of the statement of purpose, service users’ guide and contract were shown to the inspector. These are appropriately written in plain English and contain all the necessary information required by residents or their representatives to be aware of what services the home provides and residents’ rights following admission to the home. There is an assessment process to ensure that the home is able to meet prospective residents’ needs. The proprietor/manager usually undertakes the Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 9 pre-admission assessment of prospective residents. The assessment covers areas such as mobility, health and social needs. Copies of completed assessments were seen within care plans. The inspector discussed the assessments with a member of staff who is responsible for overseeing the care plans. Although information is on the assessments as to areas where the resident has difficulties or needs it was not always clear from the assessment as to the support a resident would need to meet this need. One assessment stated that a person required help with eating and drinking but did not state what help was required, i.e. food cut up, altered texture of food, lots of encouragement or to be fed by a carer. More detail within the assessments would enable staff to be aware of the needs of residents when they are admitted. Residents and a visitor confirmed that either the prospective resident or their representative had been able to visit the home prior to admission. One service user explained that she had prior knowledge of the home through friends who had been resident at the home. Another stated that she had been supported at home by the domiciliary care agency attached to the care home prior to admission. The majority of residents appeared to come from the local area and to have known about the home prior to admission. The home also provides day care for a very small number of people who live in the local area. One person on day care stated that should she require residential care in the future she would hope that a bed was available at the home. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. All residents have an individual care plan, however these require more detail as to how specific individual needs should be met, be reviewed at least monthly and signed by the resident or their representative. Residents’ health care needs appeared to be well met with the support of local GPs and district nurses. The home appropriately stores, administers and maintains records in respect of medication however PRN medication must state the maximum number that may be given in 24 hours and have a review date. Residents are treated with respect and their privacy is protected. EVIDENCE: The inspector viewed a number of residents’ care plans and daily diaries. The care plans were discussed with a staff member who is responsible for overseeing the care planning process. The care plans are very brief and lacked specific information as to how individual care needs should be met. Care staff have a good knowledge of individual residents and record care provided daily in diaries. Care plans were seen to be reviewed every three months and must be reviewed monthly. The inspector identified ways that reviews can be demonstrated without new care plans being written every month. Discussions with residents and staff indicated that residents are involved in the formation of their care plans, however there is no signature on care plans from either the Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 11 resident or their representative to confirm this. Care plans must provide more detailed information as to how specific individual needs should be met, be reviewed at least monthly and signed by the resident or their representative. Residents stated to the inspector that they felt their healthcare needs were met at the home. Residents stated that they could request to see their GP and an appointment or home visit would be arranged. Residents stated that staff or their family would support them for GP or specialist appointments. Residents also confirmed that opticians and dentists were arranged as required. The home has a visiting chiropodist for which residents or their representatives are invoiced individually. This is stated in the service users’ guide. The home is small and staff clearly had a good knowledge of individual residents and were aware when they were ‘not their usual self’ which may indicate a medical problem. On the day of the unannounced inspection the home had requested the district nurse to visit, who was able to confirm that a resident had a urinary infection as suspected by staff. Appropriate treatment was then organised via the GP. The district nurse confirmed to the inspector that the home provided a good quality of care for residents and that their health needs are met. The home has a number of twin bedrooms, all of which contained screens to provide privacy when personal care is provided. All personal care being delivered during the inspection was undertaken in private. Residents confirmed that personal care is always provided in private and that their rights to privacy and dignity is respected by the care staff. All residents spoken with stated that staff always treated them with respect. The arrangements in respect of medication are appropriate. The home uses an MDS system wherever possible. All medications, including controlled drugs, were found to be stored appropriately. The home has a recording system for medication received into the home and that returned to the pharmacy. The records relating to medication were fully completed and appropriate. The home maintains separate records in respect of PRN (as needed) medication such as occasional Paracetamol. The PRN sheets must state the maximum number of tablets that may be administered in 24 hours and have a review date. Care staff only administer medication once they have received training and been deemed competent. Training is usually provided in house and involves a video and observed practise. Some care staff have undertaken BTEC medication training at the Isle of Wight College with others having undertaken learning direct courses. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15. Residents are helped to exercise choice and control over their lives. Residents are provided with a wholesome, appealing balanced diet. EVIDENCE: During a tour of the home it was evident that service users had been able to bring in items of personal furniture and other items to individualise their bedrooms. Residents confirmed that they had been able to bring a variety of personal items with them when they were admitted to the home. Residents were seen spending time either within their bedrooms or within the home’s pleasant lounge and were encouraged in a variety of individual activities such as reading books or newspapers, watching television or listening to the radio. The home does not become appointee for any residents or become directly involved in their personal finances. The home pays the chiropodist and hairdresser directly then invoices residents or their representatives at the end of the month detailing the additional services that have been received. The proprietor/manager stated that she would consult care managers if there were issues that required an external advocate. Residents receive a varied, nutritious diet and meals are taken in congenial settings. The home has a pleasant dining room with views to the rear garden and to the raised flowerbeds. This room has recently been fitted with a new Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 13 gas fire for which a fireguard had been provided. The dining room is large enough for all twelve residents to sit down to eat at the same time at a number of small tables for three to four people. Residents stated that they could choose to eat in their bedrooms or the lounge if they wished although staff encourage people to eat in the dining room for socialisation and the short walk to the dining room provides an opportunity for mobilisation. During the inspection residents were seen eating their lunchtime meal in the dining room or their bedrooms. The home employs two cooks who between them cover seven days a week. The cook prepares the main lunchtime meal with the care staff preparing the evening meal most days. Some evenings the cook prepares the evening meal. The menus were seen and these provide a varied main meal at lunchtime with fresh fruit and vegetables used wherever possible. The home maintains full records of food eaten by individual residents and these confirmed staff and resident statements that other options to the main meal are provided. The inspector was close by the kitchen whilst the lunchtime meal was being served and overheard staff asking the cook for apple sauce to go with the roast pork (this was already available in a serving dish ready to go into the dining room). Staff are aware of individual residents’ likes and dislikes and were heard asking the cook for the next meal served to have no carrots as it was for a particular resident. During the afternoon of the inspection care staff were observed preparing the evening meal and asking residents what they wanted in sandwiches and organising soup for service users who requested this. The list of tasks for the night staff included instructions to prepare porridge as a hot option for residents’ breakfast. Residents confirmed that hot drinks are available throughout the day and that supper is provided if they want it. The inspector observed drinks being served throughout the inspection. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. There is a complaints procedure which is known by residents and their representative who are confident that the proprietor/manager would take their concerns seriously and resolve any issues. The home protects residents from abuse. EVIDENCE: The complaints procedure is available to all residents and their representatives with a copy being included in the service users’ guide. The complaints book showed that there had been one formal complaint in November 2005. The manager discussed this with the inspector and explained how the situation had been investigated and resolved. It is recommended that the manager sign the complaints book to indicate that the complaint had been acted upon. The visitor spoken with stated that he had no concerns or complaints about the home but that if he did he would feel happy to discuss these with the proprietor/manager and felt confident that she would resolve any issues. Residents also stated that they had no concerns or complaints but that they would also talk to staff or the manager and were sure that any issues would be resolved. All residents are registered to vote and several were supported by family members or staff to vote in person at the local polling station. As previously stated, the manager would request the support of care managers should there be any issues requiring external advocacy. The home has the necessary policies, whistle-blowing, gifts to staff and adult protection, information about which is included in the staff handbook. Care Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 15 staff receive adult protection training, the records of which were seen during the inspection. Care staff stated that they have undertaken adult protection training and were aware of what might be abuse and the actions they should take if they suspect that abuse may have occurred. The manager and care staff have a close relationship with residents and it is the inspector’s opinion that residents would feel able to tell the proprietor/manager if they had any concerns. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25 and 26. The home provides safe, well maintained accommodation that was found to be clean, pleasant and hygienic at the time of the unannounced inspection. EVIDENCE: The home is an older property with lots of character. The proprietor/manager has spent a great deal over the last 12 months improving and renovating areas of the home, including the kitchen. The entire home has been redecorated and new non-slip washable floor coverings have been provided in two single bedrooms. A new boiler has been fitted to provide improved hot water and heating and a new gas fire is located in the dining room. The kitchen has been completely refitted with new modern appliances provided. Externally the home has ramped access via the rear of the building. The proprietor/manager stated that in the summer the service users are able to enjoy the garden. The manager is considering removing an overgrown tree located in front of the lounge window as this is blocking natural light into the lounge. Bird tables are provided in the garden to encourage wild birds to visit the gardens and provide Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 17 interest for residents. Raised flowerbeds can be easily seen from inside the house. A full tour of the building was undertaken and all private and communal areas of the home were seen. Specialist equipment such as a hoist and height adjustable bed are provided where assessment has indicated a need. The home access specialist assessments for aids and equipment via care managers or the continence assessor when necessary. The home has a passenger lift to enable service users to access all areas of the home. One single bedroom must be accessed via two steps. The manager was clear that should the room’s occupant be unable to safely manage these steps then they would be offered an alternative room. The service users’ guide clearly states the reasons why residents may have to change rooms. The heating, lighting, water supply and ventilation of service users’ accommodation meet the needs of individual residents. Radiators in bedrooms are covered and individually controllable to provide the temperature required by the room’s occupant. Fireguards are provided in the lounge and dining room. Emergency lighting is provided both inside and outside the home. The manager stated that the water supplies conform to the guidance to prevent the risk of legionella and the shower head in the unused shower has been removed. The home has no sluicing facilities. The proprietor/manager stated that she has now identified a sluicing sink that is appropriate for the home and space available in an unused shower room. The proprietor/manager stated that this would be fitted in the next three months. On the day of the unannounced inspection the home was warm and clean. The proprietor/manager explained that the previous problems with unpleasant odours in one bedroom had been resolved with the provision of a new floor covering which is both non-slip and washable. The proprietor/manager confirmed that the washing machine is capable of washing to high temperatures and information was seen reminding staff to ensure that the temperature control on the washing machine was set to the correct temperature. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Appropriate numbers of suitable recruited, inducted, trained care staff are provided at the home. EVIDENCE: Residents, staff and the duty rotas confirmed that there are two care staff and a cleaner on duty during the morning; two care staff during the afternoon and one awake staff at night. The proprietor/manager is available on call when not present in the home and was clearly very aware of individual residents’ needs and had a good rapport with them. A cook is also provided seven days per week and some days also prepares the evening meal. The proprietor/manager stated that should additional staff be required then this would be made available. Residents stated that care staff answer call bells promptly throughout the day and night. Staff were observed spending time with service users chatting in the lounge during the afternoon. Staff were clear that residents’ needs came first. This was stated on lists of tasks to be undertaken by staff on the evening shift which said that cleaning tasks should be left if residents required support. Most of the staff employed at the home have done so for a number of years and stated that they get on well with each other. Care staff and duty rotas confirmed that the existing staff cover additional shifts resulting from sickness or leave. The home has recently appointed three new members of care staff who are all qualified at NVQ level. One new staff member has level 2, one level 3 and the third level 4. Two of the existing care staff have NVQ level 2 qualifications. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 19 Once the new staff have commenced working at the home, the home will have ten members of care staff, five of whom will have at least NVQ level 2 resulting in 50 of care staff having NVQ level 2 or above. The home’s recruitment procedure should ensure that only suitable people are employed at the home. The file for a new member of care staff due to commence work in the week following the inspection was seen as was the file for the newest member of care staff already working at the home. Applicants completed an application form and are requested to provide two names for references, one of whom is the previous employer. A full work history is requested. The proprietor/manager stated that two people undertake interviews and references are taken up. CRB and POVA checks are done. Records seen confirmed the above process with a completed CRB seen for the care staff member who had commenced employment several months prior to the unannounced inspection. There was no evidence of a CRB for the staff member who was due to commence employment the week following the inspection. The proprietor/manager stated that the carer had been previously employed at the home and left for a short period of time before reapplying to the home. The inspector informed the proprietor/manager that a new CRB and POVA must be done to ensure that there had been no referrals to the POVA List or CRB lists during the intervening period. The proprietor stated she would organise a new CRB to be completed. The records in respect of this will be checked during the next inspection. All staff are provided with copies of the staff handbook, work contract and code of practise from the General Social Care Council. Copies of these documents were seen during the inspection. Once appointed staff have an induction period which is fully recorded and involves appropriate induction training. The inspector was able to speak with a recently appointed staff member who confirmed that the above procedure had been followed. The home contracts with Peninsular, an employment advice service. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 36, 37 and 38. The proprietor/manager has proved herself a competent manager of the home but does not intend to gain the NVQ level 4 in care or the Registered Manager’s Award. Care staff are appropriately supervised however the records were not available for inspection. Generally records are appropriately maintained and stored however the home must ensure that all records required for inspection are maintained, stored appropriately and available. There were no identifiable risks to residents during the unannounced inspection. EVIDENCE: The proprietor/manager has proved herself a competent manager of the home with many years of experience in providing care for older people. She has been in her position since 1984. The manager/proprietor does not intend to gain the NVQ level 4 in care or the Registered Manager’s Award. The home has recently appointed a new member of care staff who has NVQ level 4 in care and is an NVQ assessor. Once settled in post the proprietor/manager stated she would consider future training needs of this person that may include the Registered Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 21 Manager’s Award. The proprietor/manager maintains a hands on approach with residents and throughout the inspection it was evident that she had a good knowledge of individual residents, demonstrated when she assisted a resident to walk to the dining room for a private discussion with the inspector. Staff and residents all stated that they felt able to discuss any concerns with the proprietor/manager and were confident that any issues would be resolved. The manager provides an on call arrangement when not present in the home. At the time of the unannounced inspection the home had one vacancy in a twin room. There were no indicators that the home was not financially viable. The insurance certificate was displayed on the dining room wall, however on examination this was for the previous year. A copy of the insurance schedule covering this year was identified and the correct certificate must be displayed. Care staff confirmed to the inspector that they receive regular supervision. On examining staff files supervision records for the year 2004 were present but there were no written records for the year 2005. The proprietor/manager stated that the supervision records were all held together but could not find these at the time of the unannounced inspection. Supervision records may contain confidential information about service users or personal information about the staff member. It is important that these records are found and then stored appropriately within a locked facility and preferably within staff files. Once completed, supervision records must be filed immediately as stated above in a locked facility preferably within staff files. The manager also stated that an annual appraisal is undertaken on all care staff. The home is small therefore the proprietor/manager is able to observe care staff practises on an ongoing basis. During the unannounced inspection a variety of records was viewed. These included pre-admission assessments, care plans, risk assessments, daily diaries, menus and food records, medication administration records, statement of purpose, complaints book, service users’ guide and sample contract, staff files and training records. Generally records within the home were appropriately maintained and stored. As previously identified within this report there is a need to provide greater detail on pre-admission assessments and care plans. Care plans should also be reviewed monthly and be signed by the resident or their representative. Staff supervision records for the year 2005 were not available for inspection and could not be located. These must be found and stored in a locked facility preferably within staff files. The correct insurance certificate was also not displayed. The home must ensure that all records required for inspection are maintained, stored appropriately and available. The health, safety and welfare of the residents is protected by appropriate procedures. Care staff confirmed that they know where the home’s procedures are kept and have a staff handbook. Care staff training records indicated that staff are provided with mandatory and additional training to meet the needs of Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 22 residents. Equipment required at the home is provided and risk assessments are undertaken. Service contracts were seen for the passenger lift and hoist. PAT testing is arranged for 31/01/06. There were no identifiable risks to residents during the unannounced inspection. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 23 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 2 10 3 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 3 17 3 18 3 3 3 X 3 3 3 3 2 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 2 3 X 3 X 2 2 3 Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 24 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 OP7OP37 Regulation 15 (1 and 2) Requirement Care plans must contain more detail as to how identified needs will be met, be reviewed at least monthly and be signed by the resident or their representative. PRN (occasional as needed medications) records must state the maximum number of tablets that may be administered in 24 hours and have a review date. The sluicing sink must be provided. Supervision records must be available for inspection and stored appropriately as identified in the report. Timescale for action 12/04/06 2. OP9OP37 13 (2) 12/02/06 3. 4. OP26 OP36OP37 23 (2) (k) 18 (2) 12/04/06 12/02/06 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 OP16 Good Practice Recommendations The proprietor/manager should sign and date the complaints book to indicate that she has investigated and DS0000012556.V263827.R01.S.doc Version 5.0 Page 25 Whiteley Bank House resolved the complaint. Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Whiteley Bank House DS0000012556.V263827.R01.S.doc Version 5.0 Page 27 - 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!