Inspection on 12/12/05 for Whitelodge

This inspection was carried out on 12th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Whitelodge 19/11/08

Whitelodge 31/12/05

Whitelodge 25/07/05

Whitelodge 25/01/05

Whitelodge 25/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Whitelodge 101 Downend Road Fishponds Bristol BS16 5BD Lead Inspector Jon Clarke Unannounced Inspection 12th December 2005 12:00 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 Whitelodge DS0000045884.V273008.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. Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitelodge Address 101 Downend Road Fishponds Bristol BS16 5BD 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 9567109 Quality Care Homes Ltd Mrs Maria Hewlett Care Home 17 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (15) of places Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate 17 persons aged 65 years and over requiring personal care only. 25th July 2005 Date of last inspection Brief Description of the Service: Whitelodge is a care home for older people in the Fishponds area of Bristol it is one of three homes owned by Quality Homes Ltd. Accommodation is provided for 17 residents over two floors with stair lift access. All of the residents rooms are for single occupancy 14 have en-suite facilities. There are two lounges with their own dining areas. There is direct access to the garden from one of the lounges. Whitelodge is registered to provide care for 15 individuals over 65 and 2 over 65 with dementia. One of the aims of Whitelodge is to ensure that living in a residential setting is a positive experience (from Statement of Purpose) Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which followed attending a staff meeting at the home on 12th September 2005. As part of this inspection a number of records were looked at including care plans, administering of medication recording, staff rota and those relating to the recruitment of staff. Health & safety practice in the home was looked at particularly risk assessments. A number of residents were spoken with about their experience of living in the home. Attending a staff meeting was a valuable opportunity to discuss with staff working practices in the home and also listen to some of the issues raised as part of the meeting. What the service does well: What has improved since the last inspection? What they could do better: Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 6 There were no areas of practice identified on this inspection which need addressing. 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. Whitelodge DS0000045884.V273008.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 Whitelodge DS0000045884.V273008.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): Standard 3 was looked at on the previous inspection and this standard was met. EVIDENCE: Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Resident’s care plans provide information about the heath and social care needs enabling staff to provide the necessary care to residents of the home. There are good arrangements to make sure that health needs are fully met. The working practices of the home help to protect residents right to privacy and ensure that they are treated with respect. EVIDENCE: Care plans showed detailed information about daily care tasks such as ability of residents to manage their own personal hygiene and where assistance or support was required. Mobility & Handling assessments are completed giving the assistance residents need with bathing and in maintaining mobility. Reviews are held regularly so that information is accurate and reflect any changes in the individual’s care needs. Risk assessments are undertaken covering areas such as falls and in one instance where a resident was at risk of developing pressure sores because of poor mobility. Through the homes links with community nursing service the providing of a pressure relieving equipment assisted in alleviating further risk of pressure sores. Whitelodge DS0000045884.V273008.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 Policies and practice of the home help to make sure that resident’s are helped to exercise choice and control over their lives. EVIDENCE: It is the practice of the home that residents where able manage their own financial affairs. If a resident has not the ability to handle their affairs independently the support of family or the resident’s representative assist with payments of fees and in making sure that money is available to individuals. It is a policy of the home that they do not have any responsibility with regard to financial affairs of residents. Residents are encouraged to bring in personal processions to furnish their accommodation and this was evident when looking around the home and speaking to residents in their room. Whitelodge DS0000045884.V273008.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): 16,18 The home has a satisfactory complaints procedure with evidence from residents that their views are listened to and that action will be taken as result of any worries or concerns they may have. The home makes every effort to make sure through its policies and training that residents are protected as far as possible from abuse. EVIDENCE: The homes complaints procedure is clearly set out in their Statement of Purpose and made available to all residents or representatives. Residents when asked were aware of their ability to make a complaint and felt able to say if they were unhappy about anything “ I have never been unhappy about anything but if I was I would complain” “I would always say something” “they (staff) would do something”. All staff have received training in Protection of Vulnerable adults and there is a policy and procedure in place which sets out how the home would respond to any allegation of abuse. Whitelodge DS0000045884.V273008.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): 24,26 The home provides private accommodation, which is well equipped and furnished to meet the needs of residents making sure that the comfort and privacy of residents, is ensured. The practices and policies of the home make sure that there is a clean and hygienic environment. EVIDENCE: In walking around the home and speaking to residents in their rooms it was evident that the home provides the necessary equipment and accommodation: domestic lighting, suitable bed with furniture and appropriate flooring. Residents had some of their own small items of furniture and personal processions that help personalise the rooms. Residents have a lockable space to keep valuables. At the time of this inspection the home was clean and free from offensive odours. There are instructions available to staff about the safe use of cleaning chemicals and there is a policy in place about the controlling of infections. Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 13 Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 14 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 There are an adequate number of NVQ trained staff to meet the care needs of residents. The recruitment practice of the home makes a good effort to complete the necessary checks to ensure the safety and wellbeing of residents. EVIDENCE: Rotas seen showed a good level of staffing available at all times to residents of the home. There are 2 staff on duty 8-6am, 2 6pm-10pm with a waking night and sleep-in staff available in the event of an emergency. All staff have completed NVQ training to level 2 or 3 exceeding the required 50 . Staff commented at the staff meeting that they felt there was good team working. The home has history of retaining staff with low turnover. Staff also commented at the meeting about the good quality of training provided. Recruitment records of two staff showed that in the main necessary checks had been carried out with full information provided about previous employment, two references and medical declaration. CRB (criminal record) are obtained however the manager must apply for each employee and not accept previous checks obtained by another employer. Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 15 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): 35,38 Standard 33 was not looked at however it is the practice of the home to have resident’s questionnaires and the next is to be completed in January 2006. The results will be examined on the next inspection. The financial welfare, health & safety of residents is safeguarded and protected by the good practice of the home. EVIDENCE: Financial records relating to the use of personal monies given to the home by resident’s representatives to purchase personal items and service were looked at. They showed good recording of how the money was spent with receipts where goods or services such as hairdressing had been purchased. Two staff signatures were obtained to evidence use of money where the resident was unable to sign. Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 16 Records showed fire safety procedures and practice is in place with weekly checks of fire alarms and monthly of emergency lighting as required by Avon Fire Service. The home has also undertaken a Fire Risk Assessment of the home and environment. Training of staff in fire safety procedures is regularly completed. Fire systems are serviced annually as is equipment such as hoists. Accident reporting procedures are in place and risk assessments have been completed on the homes environment. Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 18 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 Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Whitelodge DS0000045884.V273008.R01.S.doc Version 5.0 Page 20 - 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!