Inspection on 30/06/06 for Whitemoss Resource Centre

This inspection was carried out on 30th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Whitemoss Resource Centre 16/10/08

Whitemoss Resource Centre 16/10/07

Whitemoss Resource Centre 08/03/06

Whitemoss Resource Centre 10/06/05

Whitemoss Resource Centre 16/03/05

Whitemoss Resource Centre 22/09/04

Whitemoss Resource Centre 29/03/04

Whitemoss Resource Centre 16/12/03

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Whitemoss Resource Centre Benmore Road Blackley Manchester M9 6LD Lead Inspector Ann Connolly Key Unannounced Inspection 30th June 2006 12:40p. 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 Whitemoss Resource Centre DS0000032932.V301600.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. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitemoss Resource Centre Address Benmore Road Blackley Manchester M9 6LD 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) 0161 740 7704 0161 720 6733 Manchester Children, Families and Social Care Harold James Connor Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home provides accommodation for a maximum of 27 service users, 6 of whom are in receipt of long term care all of whom require care by reason of old age (OP). The Statement of Purpose must be maintained in line with the requirements of Schedule 1, of Regulation 4 (1) of the Care Homes Regulations. The Statement must be kept under review and updated. Any changes to the home`s purpose must be agreed with the National Care Standards Commission prior to implementation. The staffing arrangements at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum, ` Care Staffing in Care Homes for Older People `. This must be reflected in the Statement of Purpose. The home must be managed at all times in accordance with the guidance and regulations issued in respect of older people`s homes by the Secretary of State for Health under Sections 22 and 23 (1) of the Care Standards Act 2000. The authority must at all employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The matters detailed in the attached schedule of requirements must be completed within the stated timescales. 8th March 2006 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Whitemoss is a purpose built Local Authority provision located in the North of the City, which provides a range of services within the immediate area and from referrals City wide. The home provides accommodation and personal care for twenty residents within the category of old age (OP). Five of these places are long stay placements and the remaining twenty two are used for short term and respite care. The home is located within a residential area of Blackley and it is within easy reach of local shops, public transport and the local motorway network. Large gardens surround the property and there is car parking space for visitors. Accommodation is provided on two floors with access via a lift or stairway. All accommodation is offered in single rooms, none of the rooms offer en-suite facilities. There are a number of lounge areas, which offer larger group living arrangements or small quiet lounge areas. A charge is made for newspapers, toiletries and hairdressing services. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written using information held on the Commission for Social Care Inspection (CSCI) records, information provided by people who use the service, staff in the home and by the manager of the home. A site visit was made to Whitemoss on 30th June 2006 without anyone being told about the visit beforehand. During this visit the inspector had a look around the home and looked at paperwork that must be kept by the home to show that is it being run properly. Another way that was used to find out more about the home was by talking with some of the residents, visitors and staff who were in the home on the day of the visit. Residents in the home had been sent a care home survey questionnaire by CSCI asking them what he or she thought about the care in the home, however, none of the residents wanted to complete them. This was confirmed following discussion with some of the residents during the visit to the home. The care home questionnaire had been completed by the manager and provided additional information about the home. Fees for this service can be up to £373.54. All key standards were looked at during this visit. What the service does well: One of the positive things about this inspection visit was that residents seemed very settled and expressed satisfaction about the way they were supported by staff. One resident said,”It’s lovely here, staff are very helpful”. Another resident said, “ staff are very good, they help you in every way. We’ve just been saying they’re all good, they have their own way of caring, they’re all very good”. During the visit there was a relaxed atmosphere, and staff and residents seemed to enjoy good positive relationships. Another positive about the visit was the staff team who appear very motivated and focused on improving services in the home. The staff team demonstrated a good understanding of person centred care, where the resident was at the heart of the care process. There was evidence from care plans and observations made during this visit that residents were consulted on how they wanted to be cared for. One member of staff said it was their duty to support residents and provide care in the manner they preferred. The home only has five permanent residents, all other residents are admitted for respite care, and as a result the home are very involved in carrying out Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 6 assessments. Residents and families said that the staff had made home visits to carry out assessments and spoke highly of the way the manager and staff managed the admission of people into the home. One relative said, “ The manager is smashing, he’s always there to greet us whenever our mother comes in the home, and the staff are just the same, they are very welcoming”. Residents spoke highly of the care they received in the home and the manner in which the staff supported them. One resident said, “ It’s lovely here, staff are helpful”. Another resident said, “ Staff are very good, they help you in every way”. Routines in the home are flexible, offering residents a choice on how they want to spend the day and on how and when they want to be supported. Staff were seen in consultation with residents about when they wanted a bath, where they wanted their meal to be served. The staff in the home had a good awareness of the importance of offering activities. During this visit flower arranging activities were taking place and this was organised as a small group activity to take into account the needs of the residents involved. Systems are in place to support people using the services to make a complaint. Residents spoken to seemed confident in approaching the staff and the manager with any issues of concern. What has improved since the last inspection? What they could do better: Although some improvements had been made in terms of organising care plans, more information was needed on the content. Some specific care needs had not been included in the care plan for three residents, and this may lead to staff making errors if they do not have all the information they need to meet individual care needs. Some problems were identified with medication, as stock levels did not balance with the recording made on the Medication Administration Records. The medication systems in the home must be audited and staff must follow correct procedures for the safe handling and administration of medication in the home. There were mixed responses from staff about their understanding of Adult Protection Procedures, and some staff seemed more confident than others about following procedures. This was a finding on the last inspection visit, and Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 7 the requirement to provide training for all staff in Adult Protection is repeated as it is essential that staff have a good understanding of what to do in the event of an allegation of abuse so that residents are protected at all times. There were a number of shortfalls in the maintenance standards in the home, these included areas which required painting and redecorating. Some areas required refurbishment such as the laundry and toilet areas. A number of exterior windowsills were in a poor state and full of pigeon droppings. No attempt had been made to clean or maintain the window frames. The home have to rely on fundraising in order to pay a gardener to maintain the grounds, as the Local Authority will only provide grass cutting services. Some of the carpets needed deep cleaning. Outdoor seating arrangement were limited and this meant that residents could not fully enjoy the outdoor facilities in warmer weather. It is strongly recommended that the outdoor facilities are increased to enhance outdoor living areas for people in the home. The provider must produce a schedule of ongoing improvement and maintenance work to the home to ensure that a safe and pleasant environment is maintained for residents in the home. 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. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 8 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 Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 9 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are fully assessed prior to admission so the individual and the home can be sure that the placement is appropriate. EVIDENCE: Information about trial visits is detailed in the Service User Guide and Statement of Purpose. This is particularly beneficial to residents using the respite service as only five places are reserved for permanent places, and there are no plans to admit any long stay admissions. Case tracking confirmed good practice in following admission procedures. A care worker visits all respite admissions in their own homes and a full assessment of need is completed. The family of one resident who was leaving the home confirmed that a care worker had visited their relative prior to her admission into the home. These relatives spoke highly about the way the manager and the staff handled the admission process. They said, “ the manager is smashing, he’s there to great us whenever out mother comes in Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 10 the home, and the staff are just the same, they are welcoming”. They also added, “ staff came out and assessed, they visited her at home”. Two staff talked about their role in helping new residents to settle in the home. They said that time was spent with the resident introducing them to other residents and helping them to get familiar with their new surroundings. The files of three residents were examined and all files contained a Care Management Assessment and an assessment carried out by staff in the home. The information was detailed and sufficiently comprehensive to develop the resident’s care plan. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans did not provide full details of residents care needs and the interventions required to meet needs. Medication systems and procedures were not fully adhered and had the potential to place residents at risk. Residents were treated with respect and their right to privacy was upheld. EVIDENCE: Since the last inspection there had been some improvements in the way care plans were organised. All sections were clearly divided which provided staff with a useful workable reference tool. Three care plans were examined in detail, and there was evidence that regular reviews were taking place and that residents were fully involved in the process. Reviews contained the signature of the resident to indicate their involvement in Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 12 the process. However, through the case tracking process and following discussions with staff it was evident that some of the identified needs had not been included in the care plan. One plan highlighted a specific care need and the plan stated, “ staff to follow procedure”, however, there was no documentary evidence of the procedure for staff to follow. Failure to provide these details may result in staff providing inappropriate care or finding themselves in a situation where they do not have the information required to help them to meet a specific care need. In the care plan for another resident, a number of problems had been identified regarding medication. The staff had done a considerable amount of work in looking at the issues of concern, and to develop a medication strategy which complies with the medication policy. However, none of these strategies or intervention had been included in the care plan, and again the plan failed to provide staff with the information they needed to meet individual care needs. In the third care plan, a recently diagnosed care need had not been written into the plan, and although staff had a verbal knowledge of the care need, this had not been appropriately documented. Through discussion with staff and case tracking, it was evident that the staff in the home had good knowledge of residents, but failed to record the knowledge they had. It is essential that staff record care needs clearly and appropriately so that staff have written documentation on how residents need and want to be supported with their care needs. The medication file contained a photograph of the resident for identification purposes and there was a record of specimen signatures of staff responsible for the administration of medication. Training for three of the management team has been scheduled for the 18th July 2006.There was evidence that the medication systems were regularly audited, however, these were not sufficiently robust as a number of shortfalls were identified with the Medication Administration Records (MAR). Stock levels and methods of administering medication from the blister packs indicated that medication had not been recorded or administered appropriately. The medication systems in the home must be audited and staff must follow correct procedures for the safe handling and administration of medication. Throughout this visit, residents spoken to seemed to be relaxed and settled in their environment and there was a calm atmosphere in the home. Residents were positive about the staff saying that nothing was too much trouble for them. Through observation of interaction between staff and residents it was apparent that good relationships were established.Staff were observed knocking on residents doors before entering, and were observed engaging in positve communication with residents using approprate and sensitive interventions. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, and staff supported residents to participate in social activities. Mealtimes in the home were a relaxing and social occasion and the food served was appealing and well balanced. EVIDENCE: From discussions with the chef, it was evident that he had a good knowledge of special diets and was aware of the importance of presenting meals in attractive forms, e.g. soft diets. The chef demonstrated an awareness of the importance in maintaining communication links with the care staff team to ensure that the individual needs and preferences of residents were met in a realistic way. There was evidence in the pre-inspection Questionnaire that residents were offered a choice of meals on a daily basis and that meals were home cooked using fresh produce. There were mixed responses about the standard of meals served, but the majority of residents expressed satisfaction, and the meal served on the day of inspection appeared to be enjoyed by most residents. It was noted that fresh fruit and drinks were made available to Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 14 residents throughout the day. Meals were served in the large dining room, but efforts had been made to arrange the room with small group tables which were pleasantly set. One visitor said, “mum always enjoys her meals”. Residents spoken to during the inspection confirmed that relatives were welcome at any time. From observations and discussions with staff it was evident that residents benefited from flexible routines and that they were consulted by staff on how they wanted to spend their day, and on how they wanted to be supported. Two members of staff said that it was their duty to care for residents in the manner they preferred. It was evident that routines were flexible to suit individual needs, and staff talked about residents choosing what time they wanted to go to bed, to their room, and when they preferred having a bath. A range of activities are offered to residents in the home. During this visit a small group of residents were involved in flower arranging. This activity was organised appropriately in a small group which enabled the carer to interact and support residents appropriately and in a manner that took into account their individual needs. Other activities included armchair exercises, memory games. Reminiscence, art and craft, current affairs and feel good activities like health and beauty. Other residents were watching TV or reading. Another resident was sat outside watching the gardener at work. Staff were engaged in one to one activities with residents which included chatting, helping with hair care. The staff on duty said that every day one key person is allocated the responsibility of co-ordinating activities, but that it was the responsibility of all staff to support residents to participate. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to support residents to express their concerns, however, staff are not fully trained in adult protection policies and procedures. EVIDENCE: The home had a system in place to record complaints made to the home. All residents had been given information on how to make a complaint and respite residents were given the complaints procedure as part of the admission process. Since the last inspection there had been no complaints made to the home and the Commission for Social care Inspection had not received any complaints about the home. Most residents spoken to could not remember being given information about how to make a complaint, however, from discussions with them it was evident they felt confident in expressing concerns to the staff or the manager. Staff who were spoken to had a good understanding of residents rights, and about the importance of supporting residents to express any concerns. Policies were in place for the protection of Vulnerable Adults from Abuse and the home used the Local Authority Multi Agency policies and procedures. Staff spoken to during the inspection said they had not received training in adult protection and from discussion with them it was evident that they had a good understanding of issues surrounding abuse, however, they were not fully Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 16 familiar with the adult protection procedures and were not aware of any procedures beyond reporting any incident/allegation to the manager. The manager recognised that staff required training in adult protection and had made a request for staff training in this area. Some training had been scheduled, however, the local authority had to cancel this due to lack of places. In the interim, it is strongly recommended that the manager use staff supervision (1:1 sessions) to reinforce good practice and the procedures to follow in the event of an allegation of abuse. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 17 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): 19,20,26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There were shortfalls in maintenance standards in the home. The home was clean to a high standard at the time of inspection. EVIDENCE: A tour of the building took place with the manager of the home. Some of the window frames were rotten and need to be re-placed, some of the other window frames were in urgent need of painting. Pigeons had been allowed to roost on the building, which resulted in pigeon faeces being excreted on the wooden frames. Urgent action is required to alleviate the problem of the pigeons and to make good the damage they have caused. Some of the furnishings in the home needed re-placing in particular, bedroom furniture. Following the last inspection the manager carried out an audit of the home which identified areas which required attention and where furniture needed to be purchases. This audit was submitted to the Local Authority, but to date no Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 18 action has been taken. The laundry room was examined and was in a poor state of repair. On previous inspections the manager had been informed that the budget had been approved for the laundry to be upgraded, however, this work has still not been carried out. During this visit the gardens to the front of the building were receiving attention from a gardener. The manager stated that the Local Authority provided gardening services but this is limited to merely cutting the grass. The effect of this was that flower beds were left to become overgrown and untidy, and an example of this was the flowerbed to the rear of the building. In order to provide residents with a pleasant outdoor area, the home have to rely on fund raising, and it was disappointing to note the home had used amenity funds to pay for a private gardener to maintain the grounds. During this visit, staff were highly motivated in providing good quality services in the home. Staff appeared keen to develop the service to ensure that outcomes were good for residents in the home. Whilst staff were enthusiastic about their caring role, it would appear that due to lack of support from the Local Authority that this was having a negative impact on staff morale and that staff were feeling frustrated about the way in which the Local Authority had dealt with their concerns about the fabric of the building. One member of staff said, “ You feel up against everything all the time, fighting all the time to get things for the home and the residents. For example, we want the home decorating, they (Local Authority) say we’re getting it and then we don’t!” “Another example—we used to have a lovely garden”. Discussions with other members of staff reflected these views. One staff member said that she felt residents would benefit from being able to access the outdoor areas in warmer weather if there was a safe patio area. For the number of residents accommodated in the home, it was noted that external seating areas were limited and not sufficient for the number of places offered in the home. It was strongly recommended that the patio areas and outdoor facilities were increased to enhance the outdoor living areas for residents living in the home. Provision of sheltered and shaded areas are necessary for any potential hot sunny weather. All toilets in the home were clean, however, the standards dated by to the 1960, and it seems that no improvements have been made since this date. Carpeted flooring in one of the ground floor toilets was inappropriate and needs to be replaced with quality flooring fit for purpose. A large number of areas were in need of re-decoration, and some carpets require deep cleaning or re-placement, and it is understood that the manager has submitted a list prioritising the work that needs to be done, however, the local authority have not responded with appropriate action. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 19 The provider must produce a schedule of ongoing improvement work to the home in order to ensure that a safe and pleasant environment is maintained for residents in the home. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Training programmes were prioritised in the home, ensuring that staff were provided with the opportunity. Shortfalls in recruitment procedures were being addressed by the manager to ensure the safety and well being of residents in the home. EVIDENCE: The number of staff on duty during this visit were sufficient to meet the needs of residents in the home. There were six care staff, the manager and support manager, an administrator, two domestics, one chef and a kitchen assistant. Staff spoken to said that mostly there were always enough staff on duty to enable them to spend quality time with residents in the home, and that it was only occasionally when they were short staffed due to illness. Observations made during the day confirmed the statement of staff, as the atmosphere was relaxed, and residents were supported by staff in a relaxed and unhurried way. Staff were seen engaged in one to one discussions with residents and supporting them in activities, such as reading a newspaper, doing their nails etc. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 21 Staff files were examined and most contained all the appropriate checks and references to ensure that staff were suitable to work in the home. The manager was in the process of auditing all staff files, and addressing any shortfalls. One member of staff who had been re-deployed to work in the home did not have the appropriate checks on file, the manager was taking prompt action to address this and is fully aware that no member of staff should be in post without satisfactory references and a Criminal Record Bureau (CRB) disclosure. There was evidence that staff had been provided with the opportunity to access training and development opportunities, and staff files contained a learning and development plan. It was evident that since her appointment the manager had focused on checking staff files and this was an ongoing programme. The home was making good progress in NVQ training. Staff who were spoken to said that they were offered the opportunity to access training events and that the home focused on training staff to a good standard. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 22 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home ensured that the interest and safety of residents in the home was protected. EVIDENCE: Following discussion with the manager, the residents and staff, there was evidence to suggest that the home was attempting to focus on providing care and support in a way that suited residents. Residents felt that they were involved in the way they received their support and there was evidence that the home consulted with all respite residents on their discharge to find out their views about the services they had received during their short stay. The manager said that action was taken on any issues of concern and that feedback was always given to the resident. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 23 Residents spoken to said they enjoyed their respite stay, some liked it so much that they wanted to stay for longer period. All residents spoken to spoke highly of the management style and of the support they received from the staff in the home. The manager was newly appointed to the home, and in the short time that he had been in post he was able to provide a clear plan of how he wished to progress the service. The manager is suitably qualified and experienced and has NVQ level4, the Registered Manager Award, NVQ assessors award, and is working to NVQ in management and the internal verifier course. Discussion with the manager provided evidence of a sound understanding of equality and diversity. The manager described a person centred approach to practice, and the importance of creating an environment that values people as individuals. Financial systems were in place to safeguard resident finances. All permanent residents have their own bank account. Monies kept in the home for residents are only small amounts. These were examined and all accounting systems were in order. Staff files provided evidence that one to one supervision and staff appraisals had been scheduled for staff and they all said that they were in receipt of regular supervision. Staff said that the manager was extremely supportive and that they could approach him at any time with issues of concern. Since the last inspection, staff had participated in fire training. Information provided by the manager in the pre-inspection questionnaire gave evidence that regular health and safety checks were carried out in the home including service checks and maintenance. During this visit water storage systems and water temperatures were being tested by direct works. Some problems were highlighted, but these were addressed by the manger at the time of this visit and a referral was made to Manchester city Council direct works. Since the last inspection thermostatic mixing valves had been fitted to water outlets in the home, however, some water temperatures still exceeded 43 degrees C. Urgent action was taken by the manager on the day of this visit and appropriate referral made. The manager must ensure that a record of water temperatures is maintained on a regular basis and that a record is kept and made available for inspection. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 24 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 3 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 Requirement Care plans must contain sufficient information to assist care staff in providing care and support to residents in the home. (Previous timescale 20/03/06 not met) Staff must follow procedures for the safe handling and administration of medication in the home. All staff must be participate in updated training on Adult Protection procedures. (Previous Timescale not met 20/09/05) The provider must produce a schedule of ongoing improvement and maintenance work to the home to ensure that a safe and pleasant environment is maintained for residents in the home. Evidence must be retained on staff files to confirm that staff have a current CRB check. All DS0000032932.V301600.R01.S.doc Timescale for action 20/07/06 2. OP9 13 10/07/06 3. OP18 13 20/07/06 4 OP19 23 20/07/06 5 OP29 18 20/07/06 Whitemoss Resource Centre Version 5.2 Page 26 staff files must be audited to ensure compliance with regulations and schedule 2 of the Care Homes Regulations. (previous timescale not met 20/03/06) 6 OP38 13 A record of water temperatures must be maintained in the home and be available for inspection. 09/07/06 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 2 Refer to Standard OP18 OP20 Good Practice Recommendations It is recommended that the manager use staff supervision (1:1 sessions) to reinforce good practice and the procedures to follow in the event of an allegation of abuse. It is recommended that outdoor seating and patio areas are provided for residents to enjoy in the warmer weather. Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Whitemoss Resource Centre DS0000032932.V301600.R01.S.doc Version 5.2 Page 28 - 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. 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