Inspection on 10/05/05 for Whiteoaks

This inspection was carried out on 10th May 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

Whiteoaks 15/02/07

Whiteoaks 09/11/05

Whiteoaks 06/12/04

Whiteoaks 26/07/04

Whiteoaks 05/01/04

Whiteoaks 18/08/03

Whiteoaks 10/09/02

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Whiteoaks 56 - 58 The Avenue Fareham Hampshire PO14 2JW Lead Inspector Kathryn Kirk Unannounced 10/05/05 10:00 a.m. 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. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whiteoaks Address 56 - 58 The Avenue Fareham Hampshire PO14 1NZ 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) 01329 232860 Mr Panchalingathurai Mrs Panchalingathurai CRH 25 Category(ies) of OP Old age registration, with number of places Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 06/12/2004 Brief Description of the Service: Whiteoaks is a large detached property in Fareham. The home is registered to provide residential accommodation for up to twenty five older people. Mr and Mrs Panchalingathuri (known as Mr and Mrs Panch) own the home. Mrs Panch is also the registered manager. The home has fifteen single bedrooms and five double rooms, all of which are en suite. Service users share the use of a lounge, dining room and sun lounge. To the front of the property a driveway provides parking and gardens provide privacy from the road. To the rear is a large well maintained garden. The home is situated near Fareham shopping area and is close to public transport. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and is the first of two that will be carried out in the year April 2005-March 2006. It took place on 9th May and lasted for seven hours. During this time the inspector spoke with three service users at length and with a number of others over lunch. Four staff were spoken with and discussions also took place with the registered manager and provider. One visitor was seen during the inspection. Some records and documents were also sampled. What the service does well: What has improved since the last inspection? Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 6 Since the last inspection very good quality monitoring systems have been developed which will help senior staff to review the care provided and to plan for the future. There is also a clearer system for recording staff training. 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. Whiteoaks H54 S12334 Whiteoaks v224192 100505.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 Whiteoaks H54 S12334 Whiteoaks v224192 100505.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 and 6 An assessment completed before admission of each service user provides the information needed to make an informed decision about whether the home can provide the support needed. EVIDENCE: One service user who had recently moved to Whiteoaks said that the manager visited them in hospital before their admission to the home. Two people said that their families had been shown around beforehand. Mrs Panch said that wherever possible prospective service user are encouraged to visit Whiteoaks themselves. Mrs Panch said that she carries out all pre admission assessments. One of these was seen and this contained information about care needs, including continence, health issues and a falls risk assessment. Mrs Panch said that a care management assessment is received for any service user that is referred through social services. Mrs Panch said that after this information is gathered, if it appears that the home could meet needs, the service user is invited to stay for a four week trial period. During this time more detailed information can be gathered and the individual can have a clearer insight into the service provided. After the trial period, service users Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 9 will become permanent residents if the home can meet their need and if this is their wish. Intermediate care is not provided. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 10 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 and 10 Care plans seen accurately reflect individual needs. Service users spoken with are happy with the care provided and with their access to health care professionals. Service users feel that their privacy and dignity are respected. EVIDENCE: Two service users sat with the inspector and discussed the assessment of need and care plan that has been drawn up to meet needs. Both said that it accurately reflected their situation. One said that they found that the information on their care plan was very satisfactory. Residents asked said that they felt happy with the current arrangement that means that care plans are stored in a staff area. One said they felt confident that if they needed to look at their care plan staff would accommodate this. Staff confirmed that service users plans are regularly reviewed and staff agreed that they would ensure that this is carried out once a month, with the service user where this is possible. All residents asked said that they have good access to health care. Oral hygiene is attended to as the manager ensures that a dental technician visits the home to clean dentures on a regular basis. Through discussion with service Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 11 users it was evident that staff are mindful of preferences regarding GPs and facilitate this choice where possible. Health needs are detailed as part of the care planning process. Risk assessments are completed regarding pressure care. Continence issues are assessed and staff are provided with training in continence management. Psychological health is also considered and weight is monitored. One service user said that they had never felt so well since moving to Whiteoaks. Staff were observed to treat service users in a friendly and respectful manner. Service users asked confirmed that this was always the case. One service user confirmed that staff use the term of address preferred by them. Service users asked confirmed that personal care giving and consultation with outside professionals takes place in private and that relatives and friends can also visit in service users bedrooms in private. The manager said that all service users have the opportunity to have a telephone installed in their room if this is their wish. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 12 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 and 15 Staff ensure that service users exercise as much control as possible over their daily routines. Visiting arrangements are appropriate. The home provides an environment which maximises service users capacity to exercise personal autonomy and choice. Meals are of good quality and are taken in a congenial setting. EVIDENCE: One service user spoken with said that they did not wish to participate in group social activities but preferred to spend time in their room reading. Staff respect this choice. Service users said that there is a large selection of large print books available to choose from at the home. Books are changed regularly by the visiting librarian. Staff will also arrange for a newspaper of choice to be delivered. Other service users said that they enjoy handicraft and art sessions and exercise classes. They described how there is contact with the local church for those that wish it and spoke of attending Harvest festivals and Christmas Carol concerts. One service user said that twice a year, about five residents go out for the day, for instance they have been to Goodwood Racecourse. There is also a summer garden party to which service users can invite their friends and Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 13 relatives. One service user said that they particularly enjoyed the garden and another was seen doing some very light gardening and was clearly enjoying this. All service users asked said that their visitors are made to feel very welcome. Service users asked said that they are able to handle their financial affairs with assistance from family or solicitors, as is their wish. Bedrooms seen had been personalised and residents confirmed that they are able to bring into the home possessions of their choice. The manager confirmed that service users are able to access their personal records. There is a planned menu, which offers a varied and nutritious diet and a choice of meal. Fresh fruit and vegetables are delivered to the home three times a week and service users confirmed that snacks and fresh fruit are always available. Food was observed to be attractively presented and mealtimes were unhurried. Service users are consulted regarding the content of the menu and can provide written feedback regarding their preferences. Service users asked praised the quality of the food. Staff confirmed that special diets for example for those with diabetes are catered for. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 14 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 An appropriate complaints procedure is in place. EVIDENCE: There have been no complaints received since the last inspection regarding this service either by the home or by CSCI. There is a complaints procedure on display in the home and one is also included in the homes service user guide. All service users spoken with said that they were very happy with the service provided. They also said that if they had any concern they would feel confident that they would be listened to and that action would be taken if necessary. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 15 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 suitable for current service users and is comfortable and homely. EVIDENCE: All bedrooms have ensuite facilities of toilet and washbasin and four rooms have baths or showers. Toilets are in close proximity to communal areas throughout the home. There are two bathrooms and these were found to be clean and to be suitably equipped. The building is light and airy. Service users said that Whiteoaks is comfortable and homely. There was evidence that a fire officer had visited recently and that the building complies with requirements. Alterations have been undertaken to one fire door on the first floor to ensure that service users and staff could use it safely in the event of an emergency. There are no wheelchair users at the home. It has previously been discussed and agreed with the manager that the home would not be appropriate for any person using a wheelchair because doorways to communal areas and corridors are not of sufficient width. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 16 There was evidence of ongoing maintenance and renewal of the home, for example since that last inspection the kitchen has been upgraded. The proprietor said that a carpet in a hallway, which is worn, is going to be replaced within the next few days. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 17 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 and 30 Staffing numbers and skill mix are appropriate to the current needs of service users. Training that is offered to staff helps them to discharge their role effectively. EVIDENCE: There is an established staff team. A recorded staff rota is kept. This was seen. It showed that a minimum of two care staff are on duty at any time and that this number increases to up to four during busy periods. There are two waking night staff on duty each night from 8am to 8pm. There is a cook at the home each day and domestic assistants are employed five days a week. The home was clean and tidy on the day of inspection and service users asked said that this was always the case. Service users said that in their opinion there were always sufficient staff on duty and also said that if they rang their call bell for attention they did not have to wait long for a response. Service users made the following comments about staff “very caring” “excellent” “I get on well with staff”. Service users also said that the management team were very good and always available. Mrs Panch the manager said that she is present at the home from Monday to Friday and said that one of the management team is always contactable if there is a need at the weekends. One staff member recently employed said that they had received an induction programme, which included shadowing senior carers. Management said that staff have training in moving and handling, first aid, fire safety, health and safety, continence management and in handling medication. Records reflect Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 18 that the management team ensure that all key health and safety training is up to date for all staff members. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 19 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) 33 and 38 Effective quality monitoring systems are in place. There is evidence that the health and safety of service users is being protected. EVIDENCE: The management team have developed a new system of quality control, which seeks to obtain feedback from service users regarding their views about the service provided. Some feedback sheets were seen and there was evidence that any suggestions made for change had been implemented. The management team said that it is the intention to use a similar system to gain feedback from relatives and involved professionals. The registered providers for Whiteoaks are Mr and Mrs Panch. Mr Panch visits regularly and spends time talking with service users. Service users asked said that they felt confident to voice their opinions to both Mr and Mrs Panch as well as to other senior staff. It was discussed and agreed that a written report would be compiled regarding the conduct of the care home and that a copy of this would be sent to the Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 20 Commission for Social Care Inspection in accordance with Regulation 26 of the care Home Regulations. The following documents were seen and were found to be up to date Accident book Record of fire safety checks COSHH information Clinical Waste Contract Record of PAT testing Service certificates for lifting equipment. Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 21 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 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 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 3 x x x x 3 Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 22 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. Refer to Standard Good Practice Recommendations Whiteoaks H54 S12334 Whiteoaks v224192 100505.doc Version 1.30 Page 23 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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