Inspection on 25/07/05 for Whitelodge

This inspection was carried out on 25th July 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 12/12/05

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 25th July 2005 09:30 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 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 D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitelodge Address 101 Downend Road Fishponds Bristol BS16 5BD 0117 9567109 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Quality Care Homes Ltd Mrs Maria Hewlett PC Care home 17 Category(ies) of OP Old age (15) registration, with number DE(E) Dementia - over 65 (2) of places Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate 17 persons aged 65 years and over requiring personal care only. Date of last inspection 25-Jan-2005 Brief Description of the Service: Whitelodge is a care home for older people in the Fisponds area of Bristol it is one of three homes owned by Quality Homes Ltd. Accomodation 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 D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day the manager and deputy were present during this inspection. Records including care plans, assessments were seen and the arrangements for the administering and storing of medication was looked at. Discussion was held with staff members and a number of residents were “interviewed”. What the service does well: What has improved since the last inspection? What they could do better: Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 6 No specific issues were identified during this inspection needing attention or improvement. 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 D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 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 standard(s) 3 The quality of assessments obtained by the home and undertaken by the home on admission were of a good standard providing a full and comprehensive picture of individual’s health and social care needs. This helps the home to meet identified needs and provide good quality care. EVIDENCE: Assessments are provided by the local authority if an individual is funded these provided full details about the health and social care needs. Where there may be concerns or history of mental health difficulties the views of a CPN are provided. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 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 standard(s) 7,8 There is a clear and detailed care planning system in place to make sure that staff have the necessary information to satisfactory meet resident’s needs. The arrangements in the home to meet the resident’s medication needs are good and provide safe working practice. EVIDENCE: Care Plans were detailed giving information about personal care and assistance needed. Risk assessments are completed where residents are at risk in areas such as fall, skin care. Reviews are held regularly to make sure the information is up to date and accurately reflects the resident’s health and social care. Mobility and Handling profiles are completed. There is evidence of resident involvement though this is not always consistent. Wishes on death of a resident are also available where an individual feels able to give this information. The medication administering records were satisfactory completed including controlled drugs which had two signatures as required. There is also system in place to accurately record the use of pain relief drugs. Storage is as necessary and the pharmacist or their representative signs for any returns of medication. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 10 Staff have completed the required training to enable them to safely administer and have the necessary knowledge about the use of drugs. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15 The home needs to keep under review the activities provided to make sure that the social and recreational interests of residents are satisfactory met. The meals in the home are good offering choice, variety and where required cater for any special dietary needs. EVIDENCE: There was a mixed response from residents about the activities in the home. For some there was sufficient for others not enough. The home used to provide activities organised by staff on regular basis. Following a resident’s meeting at which the majority of residents attended this has stopped though the manager will be keeping this under review. Entertainment is provided by outside entertainers at least three times a month. Residents were very positive about a recent trip to Longleat where relatives were also invited. A relative commented that they were “always made to feel welcome” and felt they were always told how their relative was and trusted the home to tell them if they had any concerns. Meals are taken in a comfortable environment. When meals were served it was observed that staff offer support and were aware of particular likes and dislikes of residents. Residents commented on the good quality of food provided: “always enjoy my food”, “always good”. Changes have been made to Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 12 the menu after suggestions made by residents. The cook had good knowledge of the dietary needs of residents and clearly takes a real interest in making sure residents enjoy their meals and recognises their importance to residents. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The complaints procedure is satisfactory with residents feeling that they are able to express their views and dissatisfaction, they are listened too and action is taken. EVIDENCE: There is a clear complaints policy that also tells residents they can register a complaint directly with the CSCI. Residents said they were aware of how to make a complaint. One said would “ speak to staff” another “I would always say” if they were unhappy about anything. Importantly they “would listen to us” and “would do something about it”. A number of residents said how they have never felt they needed to make a complaint but would feel able to if they had to. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The environment is well maintained with a good standard of decoration. It is well equipped and provides a safe and homely atmosphere. EVIDENCE: All of the communal areas and a number of resident’s rooms were seen during the inspection. There is regular maintenance and when needed decoration of residents rooms. Access within the home varies with stairs to get to one of the lounges and the first floor. However all of the stairs are fitted with stair lifts and staff are available to assist residents. Planned improvements with the installation of a lift will improve access to the first floor and the new residents rooms on the second floor. The home was clean and free of offensive odours during this inspection. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 Staff are skilled and competent to provide the level and quality of care needed. EVIDENCE: Quality Care Homes Ltd places great importance on the training of staff and this is reflected in the regular training available in all areas particularly mandatory training ie Moving & handling, First Aid, Fire & Health & Safety. Staff have completed Adult Protection training. A member of staff stated that they are “offered the training you need” All staff are actively encouraged to undertake NVQ qualification. A resident said they felt “safe” in the home that staff were “friendly and caring”. It was also observed that there was good and timely response to the call bell used by residents to get assistance. Staff “always come quickly”. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 Care staff are supervised and have regular opportunity to talk about their work, training and any issues of concern. EVIDENCE: Staff confirmed they receive supervision on a regular basis but also they felt able to discuss anything of concern at any time to the management. Training has been provided in “Supervising Staff”. Staff member said they “felt listened to”. Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x 3 x x Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 18 Are there any outstanding requirements from the last inspection? 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 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. 1. Refer to Standard Good Practice Recommendations Whitelodge D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 D56_D05_S45884_whitelodge_V235200_250705_Stage4.doc Version 1.30 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!