Inspection on 10/01/06 for Whiteoak Court Nursing Home

This inspection was carried out on 10th 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

Whiteoak Court Nursing Home 11/07/08

Whiteoak Court Nursing Home 18/02/08

Whiteoak Court Nursing Home 09/01/07

Whiteoak Court Nursing Home 21/06/05

Whiteoak Court Nursing Home 02/11/04

Whiteoak Court Nursing Home 26/04/04

Whiteoak Court Nursing Home 13/11/03

Whiteoak Court Nursing Home 08/05/03

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

CARE HOMES FOR OLDER PEOPLE Whiteoak Court Nursing Home 15 Selby Close Chislehurst Kent BR7 5RU Lead Inspector Cheryl Carter Unannounced Inspection 10th January 2006 10:00 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 Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 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. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Whiteoak Court Nursing Home Address 15 Selby Close Chislehurst Kent BR7 5RU 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) 020 8467 0954 020 8467 0954 Messrs I R & RP Tappin and Mrs S M Schluep Mrs Mary Lyons Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing Notice issued 4 March 1999 Date of last inspection 21st June 2005 Brief Description of the Service: Whiteoak Courst Is a two storey nursing home in Chislehurst registered to provde nursing care for up to 27 elderly persons. This is a well maintained building and a larger than average property for this size home. Accommodation in the home includes bedrooms on the ground floor and the first floor. There is a lift to the upper floor. All bedrooms are fitted with a hand basin. On the ground floor there is a large dining-room and separate lounge area. There is car parking to the front of the building and a garden to the rear. The Home is staffed throughout the 24-hour period with both Nursing and Care staff. There is always qualified nursing staff on duty. The Home has the regular support services of a GP, chiropody, optician and dentist. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection for the year 2005/2006 carried out in the presence of the Manager. Previous inspections have always found the home to be well maintained and offering a good quality service and this is confirmed at this visit. All recommendations from the previous inspections are complied with promptly. The inspection took place over four hours and included a tour of the premises, the assessment of a sample of care plans, medicine charts, complaints and compliments and a sample of health and safety records. The inspector spoke to the staff group that was on shift that morning, the activity worker and three residents. The registered manager has been in post for some years now and the staff turnover within the home is low. The Commission has not received any complaints about this service since the last inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 6 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 Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 7 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): 2, 3, 4, 5 The pre-admission assessment undertaken with potential service users is comprehensive, so that service users can be sure that the home will meet their needs. EVIDENCE: In a sample of care plans that were assessed there was evidence that a preadmission assessment is undertaken with potential service users prior to admission to the home. The assessment covers both physical and psychological needs and this forms the basis of the care plans. It also includes their lifestyle before moving into the home and this give staff an insight into the service user’s current needs. The remaining standards were assessed at the previous inspection and were met. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 8 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 Residents are sure that they will be treated with respect, which encourages them to retain their individuality and dignity EVIDENCE: Each resident has an individual care plan and the inspector looked at a sample of these during the inspection. Each care plan contained information that included risk assessments, monitoring of risks that could lead to incidence of pressure sores, and manual handling protocols. Staff complete daily entries of care given and there was evidence that care plans are regularly reviewed. The remaining standards were assessed at the previous inspection and were met. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 9 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 The activities within the home are tailored to meet the needs of service users. Visitors are always welcome so that links with friends and families can be maintained and encouraged. The menus were evidence of nutritious and wholesome diet. EVIDENCE: The range of activities on offer in the home have increased since the last inspection and the appointment of an activities organiser. Visitors are always welcomed to the home and one visitor with whom I spoke said that the staff always made her feel welcome and that her husband has shown such marked improvement in his behaviour since being placed at the home. The lunchtime meal was observed and was well presented and looked appetising. All those spoken to agree that the food was varied and enjoyable. The remaining standards were assessed at the previous inspection and were met. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 10 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, 17, 18 There is an appropriate complaints procedure in place. Service Users are confident that their complaints will be taken seriously and acted upon. EVIDENCE: There is a complaints procedure in place and service users are given a copy. The complaints book had no record of any complaints since the last inspection. The Commission has received no complaints since the last inspection. Compliments are also recorded and there have bee several made since the last inspection. Most of these commended the staff for their care and patience. The remaining standards were assessed at the previous inspection and were met. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 11 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, 23, 25, 26 The home offers an exceptionally well-presented and maintained environment that meets the needs of its residents and allows them to live in a comfortable homely atmosphere. EVIDENCE: The home is very well maintained both internally and externally and attractively furnished and decorated. There is an on-going programme of redecoration and renewals. Each time a room becomes vacant it is redecorated. Eight rooms have recently been redecorated. Nine rooms have had new carpets. There have been new buffers bought for beds, new pillows, towels, and a new shower chair for the shower room. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 12 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, 30 Staffing levels are sufficient to meet the needs of the service users. Training for staff is given priority ensuring that service users can be confident that staff with appropriate skills and qualifications is caring for them. EVIDENCE: Rotas seen indicated that there are always sufficient numbers of staff on duty to meet the needs of the residents. Approximately 90 of staff are now qualified to at least Level 2 NVQ. Training for all staff is a priority in this home and schedules for some future training were seen. Staff files for two members of staff were seen and were in order. Evidence of Criminal Records Bureau checks was in place and work permits had been obtained where necessary. The remaining standards were assessed at the previous inspection and were met. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 13 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): 34, 36, 37, 38 There are generally reliable systems in place to ensure the good health and welfare of residents. EVIDENCE: Mandatory training is all up to date. Fire equipment, electrics and other adaptations have been checked recently. Records are clear and regularly updated and stored appropriately. The quality assurance audit system is in place. All residents are able to participate in some way and letters are also sent to relatives. The business plan and accounting systems suggest the home is financially viable. Water outlets are regulated and radiators are covered. Supervision is ongoing and meeting the required standard. The Matron meets with staff every morning and the workload discussed at lunchtime. Liaison nurses are quite supportive to the staff team and provides good back up for the home. The remaining standards were assessed at the previous inspection and were met. Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 14 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 3 3 3 3 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 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 x x 3 x 4 4 STAFFING Standard No Score 27 3 28 4 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x 3 x 3 3 3 Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 15 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 Whiteoak Court Nursing Home DS0000010146.V277123.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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