Inspection on 21/06/05 for Whiteoak Court Nursing Home

This inspection was carried out on 21st June 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

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 10/01/06

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 ANNOUNCED 21 JUNE 2005 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. WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208-467-0954 0208-467-0954 MESSRS I R & RP TAPPIN & MRS S M SCHLUEP MRS MARY LYONS CARE HOME WITH NURSING 27 Category(ies) of OLD AGE, NOT FALLING WITHIN ANY OTHER registration, with number CATEGORY of places WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: STAFFING NOTICE ISSUED 4 MARCH 1999 - IMPOSED 1ST APRIL 2002 Date of last inspection 02.11.2004 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 and the GP, chiropody, optician and dentist. WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very satisfactory announced inspection and the inspector would like to thank the management, staff, service users, relatives and other professionals for their co-operation in carrying out the inspection. The service delivered at this home is of a very high standard and the service users and their relatives are very happy and contented with the care at the home. The inspection took place over six hours and was carried out in the presence of the Manager. On the day of the inspection there were 25 residents. For the first hour of the inspection the provider was also present. A tour of the premises was conducted and staff records and care records were inspected. The inspector interviewed three members of staff and spoke to three service users and one relative. Twelve comment cards were returned. Medication files, fire risk records, Gas and Electrical Certificates, Portable Appliances Testing, Complaints book, Accident Book, Care plans and Employers Liability Insurance were examined and found to be in order. What the service does well: What has improved since the last inspection? Decorations and furnishings have been upgraded.to maintain a high standard. There are new carpets in the Lounge and Hallway. Nine bedrooms have been recarpeted and six bedrooms have new curtains. New towels and a new tea trolley have been bought. There are two new boilers that make the heating system more efficient, and four new beds were WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 6 purchased. The Home works closely with Harris Hospice care and has raised £900.00 from a sponsored walk which was supported by the staff team. The home has appointed a new member of staff extra to requirements from 8am to 2pm for nursing. An activity co-ordinator comes in two days per week on Tuesdays and Thursdays. 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 G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.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 WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.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) 1, 2, 3, 4, 5, 6 The admission procedure ensures that the care needs of service users will be met. EVIDENCE: There is a Statement of Purpose and Service User’s Guide available to all service users. This is a comprehensive and informative document. All service users have a copy of their contract and the room to be occupied is included in the contract. The manager undertakes an assessment with prospective service users prior to moving into the home. This takes place either in the service user’s home or hospital. When a service user moves into the home there is a trial period before a choice is offered to reside permanently at the home. Evidence was seen of assessments undertaken with service users and their representatives. Discussions with the manager showed that the identified needs of each service user are considered before deciding whether the home can meet those identified needs. Wherever possible service users and /or their representatives visit the home prior to moving in. The home does not provide intermediate care. WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.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, 9, 10, 11 Systems are in place to ensure that health care and personal care needs of service users are met. Medication policies and procedures are clear and are consistently implemented. EVIDENCE: Each service user has a care plan which includes continence assessments, risk assessments and nutritional assessments, moving and handling assessments. The Liaison Team at the Willows provide back up with wound management, assessments for mattresses and assessments for care contributions. There is also a summary of each service user’s medical history, which is done by the GP. The Service and users health is reviewed every six months and included in the review including their weight full blood count and medication. This is done in conjunction with the GP. Only the qualified nurses administer medication. Local Authority funded service users are reviewed after six months and then yearly. All staff receives training in the importance of the right of the service user to privacy, respect and dignity, and its importance to their care. Care plans show identified individual needs of service users and the actions to be taken by the WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 10 Manager and staff as to how those needs will be met. Four Care Plans were viewed. Care plans inspected included details addressing mobility, diet, catheter care, rest and sleep, communication and comprehension, personal hygiene, skin care, mental health, social activities and interests. The manager and the staff interviewed demonstrated a good working knowledge of the needs of older people. A sample of medicine charts were seen and these were completed appropriately without any gaps. On admission to the home when their contract is being signed, the home has a form for funeral arrangements that indicates the service user’s preference, and who to contact. In most cases the Provider, her husband and sometimes a member of the staff team attends the funeral of the service user. WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.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, 13, 14, 15 Service users receive a balanced and varied diet and there are a variety of activities to meet the various interests of the people living at Whiteoak Court. EVIDENCE: Service users have a choice of staying in their room, sitting in the lounge they can return to their rooms if they wish, after a spell of sitting in the day room. There is an activity co-ordinator that comes to the home twice weekly. The activity programme includes the Hairdresser one day per week, music, reminiscing, board games, videos, manicures, birthday and anniversary parties, tea parties to mark one off events. Contact with family and friends. The menus seen showed a choice of hot meals offered to the service users daily. Service users were observed during the lunch time period. Staff offered assistance to service users in an unhurried and sensitive manner. Evidence was seen in service users daily notes. monitoring the amount of food and fluids taken by service users who had identified nutritional needs. WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 12 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, 17, 18 Systems are in place to ensure that complaints are acted upon. EVIDENCE: A complaints policy and procedure was available. The owner and manager stated they welcomed comments and complaints from service users and their representatives. The Manager stated that complaints are taken seriously. There were no recorded complaints since the last inspection. Staff are trained in the Protection of Vulnerable Adults and Whistle Blowing procedures. The Inspector recommends that a copy of the Department of Health “NO SECRETS” guidance on the protection of vulnerable adults is purchased for staff to read. The Inspector also recommends that all complaints regardless of how minor are recorded and any actions or outcomes recorded. Recommendation 1 & 2 WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 13 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, 20, 21, 22, 23, 24, 25, 26 The home is decorated to a high standard and provides safe, comfortable and attractive surroundings for service users. EVIDENCE: A tour of the premises found all areas were clean, tidy and free from odours. Some residents were in the lounge and some residents had chosen to sit outside, as it was a nice day. There are adequate toilet and bathrooms situated throughout the premises. All bedrooms were well maintained and personalised, and there was evidence of personal belongings such as ornaments, pictures and chairs. Many of the bedrooms had TVs and radios and some service users enjoyed the privacy of being in their own bedroom. A lift is available for those service users with mobility impairments. The home was a comfortable temperature throughout and the lights and call bells tested were in working order. The hot water was a satisfactory temperature. The environment is adapted to enable service users to move through the WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 14 premises with as much independence as possible. This included provision of grab rails and handles. The handyman tests the fire alarm system ever week, fire drills are done yearly. WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.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) 27, 28, 29, 30 The process for the recruitment of staff offers protection to people living at Whiteoak Court. There are sufficient numbers of staff on each shift to meet the needs of the residents. EVIDENCE: The staff team have worked at the home for a long time and this offers consistency of care. A staff rota was seen and there are sufficient numbers of staff on duty to meet the needs of service users. The manager stated that there is always a qualified nurse on duty throughout a twenty four hour period. There are thirty-five members of staff that includes 9 RGNs, and 1 Enrolled Nurse. There are two staff with NVQ 3 and 8 with NVQ 2 and 3 with NVQ1. Two members of staff are currently undertaking Level 2 NVQ. The home has a robust recruitment process. Files seen had application forms, evidence of identity references and the results of enhanced CRB checks. Staff are aware of the values of the service, their roles and responsibilities. They are supervised regularly and the Registered Manager maintains supervision records. Supervision and foundation training provides continous evaluation and support to enable staff to work to best practice. The rotas accurately reflected the staff on duty on the day of the inspection. WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.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) 31, 32, 33, 35, 36, 37, 37 There is very sound leadership and guidance to staff that ensures there is consistent quality of care. EVIDENCE: The home is well run with good leadership in the best interest of service users. The Registered Manager has a good professional relationship with her staff team, service users, relatives and with the Provider. Regulation 26 visits are conducted on a monthly basis and copies of the reports must be sent to the Commission. The Registered Provider conducts six monthly surveys and the results are collated and action taken as appropriate. A copy of the quality assurance survey should be sent to the Commission. The Manager is an RGN and also holds the Registered Manager’s Award. The Manager, a Senior RGN and an RGN carry out supervision. This is recorded. There are policies and procedures that are made available for all staff on matters of health and safety in the home. Staff attend fire drills monthly. Manual handling, individual WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 17 assessments and pictures of each resident were in the service users bedrooms. Comment cards received from service users, their representatives and other professionals were extremely positive about the staff team, the care provided, the environment and the food. Recommendation 3 WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 18 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 4 3 3 3 4 4 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 3 x 3 3 3 3 WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 19 NO 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. 2. 3. Refer to Standard OP16 OP16 OP33 Good Practice Recommendations All complaints and their outcomes regardless of how minor it appears should be recorded.l A copy of the Department of Health “NO SECRETS: Mistreatment of Vulnerable Adults” is purchased for staff to read. The quality assurance audit when completed should be sent to the CSCI WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection SIDCUP AREA OFFICE RIVER HOUSE 1 MAIDSTONE ROAD, SIDCUP KENT 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. Extracts may not be used or reproduced without the express permission of CSCI WHITEOAK COURT NURSING HOME G51 S10146 Whiteok Announced V223081 21-0605 Stage 4.doc Version 1.30 Page 21 - 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. 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