Inspection on 09/11/05 for Whiteoaks

This inspection was carried out on 9th November 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 10/05/05

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 1NZ Lead Inspector Kathryn Kirk Unannounced Inspection 9th November 2005 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 Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whiteoaks Address 56-58 The Avenue Fareham Hampshire PO14 1NZ 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) 01329 232860 Mr Panchalingathurai Mrs Panchalingathurai Mrs Panchalingathurai Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 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 DS0000012334.V261993.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection to take place in the year April 2005-March 2006. It took place on 9th November and lasted for three hours. Only key standards that were not covered during the previous inspection in May were considered during this inspection. As such to gain a more detailed overview of this service, this report should be read in conjunction with the one dated 9th May 2005. During this inspection the manager, three staff members and five residents spoke about their experiences of living and working at the home. There was a tour of some of the communal areas and some paperwork was sampled. Twelve relatives /visitors provided written feedback in the form of comment cards. Mrs Panch also completed a pre inspection questionnaire, which provided further information about policies and procedures, service users and staff. There have been no requirements or recommendations made as a result of this inspection. What the service does well: The service met all standards assessed during the previous inspection. Feedback regarding the home from residents and from their visitors remains positive; one person for example, described it as a well run, pleasant, happy home. All were satisfied with the overall care provided. Of the standards assessed on this occasion, it was apparent that procedures are in place to facilitate the safe handling of medicines and that staff adhere to them. Appropriate procedures and staff knowledge ensure that residents are safeguarded as far as possible from any form of abuse. Residents report that they would feel confident to voice any concern to the management team. The home is clean and systems are in place to control the spread of infection. Staff are encouraged to study for their NVQ in care and staff recruitment procedures are very thorough. The management team is experienced and approachable and clearly take a pride in providing a good quality of service. The views of service users and their visitors are actively sought so that staff can measure their success in meeting the aims and objectives of the home. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 6 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. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 the following standard(s): No standards were assessed on this occasion. EVIDENCE: Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 the following standard(s): 9 Policies and procedures are in place to ensure, as far as possible, that medicines are handled safely either by residents who choose to manage their own medication, or by staff. EVIDENCE: Policies and procedures were seen for staff to follow regarding the receipt, recording, storage handling and disposal of medicines. There is also guidance about medicine administration and this includes procedures to follow for residents who wish to administer their own medication. Records show that one resident has chosen to administer their own medication. This has been agreed by the GP and is reviewed every year. There is an annual pharmacy inspection, which reviews all aspects of the management of medicines within the home. The most recent report was seen and was satisfactory. Mrs Panch said that the next pharmacy inspection is due on 29/11/05. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 10 Mrs Panch said that all staff are trained in medication issues. One staff member spoken with on this subject spoke knowledgeably about the homes procedures and about the medications that she administered. The home operates a nomad system. Medicines were observed to be stored securely on the day of inspection and records seen accurately reflected medication stock. Controlled medicines are stored separately. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 the following standard(s): No standards were assessed on this occasion. EVIDENCE: Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 the following standard(s): 18 Procedures regarding adult protection are appropriate and staff have a good understanding of the issues. This helps to protect residents from abuse. EVIDENCE: There is a copy of the Hampshire Adult protection procedures in the home and also a copy of the Department of Health guidance ‘No Secrets’. Staff are provided with some training in adult protection issues and one staff member this was discussed with understood the correct course of action to take should a disclosure be made. Mrs Panch was aware of the need to refer any staff that may be unsuitable to work with vulnerable adults for consideration for inclusion on the Protection of Vulnerable Adults register. She said however that she had not yet had the need to do this. All residents asked said that they felt confident to voice any concerns that they had to Mrs Panch and said that they were confident that they would be listened to. There are procedures in place to ensure that service users money is safeguarded. All residents are offered a locked cabinet on admission so that they can safely store their valuables and all bedroom doors are lockable. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 the following standard(s): 26 The home is kept clean and systems are in place that would control the spread of infection. EVIDENCE: On the day of inspection all parts of the premises seen were clean and free from offensive odours. One visitor who provided written feedback said that the home is spotlessly clean. Laundry facilities are situated away from food storage and preparation areas. The laundry floor finish is impermeable and wall finishes are readily cleanable. The washing machine has a sluicing facility. A clinical waste contract is in place. Hand washing facilities are prominently sited and staff are supplied with liquid soap. Mrs Panch agreed that paper towels would be supplied in the laundry area. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 14 There was a supply of plastic aprons and gloves to minimise the risk of cross infection. Staff said that protective clothing is always available. Staff are given training in infection control issues both during their induction and during separate courses. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 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): 28 and 29 The Management team places a great importance on staff achieving their NVQ in care and encourages all staff to embark upon this course of study. Recruitment procedures are thorough. EVIDENCE: Records show that half of the fourteen staff have achieved their NVQ in care at least to level 2. Two other staff are currently undertaking their NVQ2 and one has started on the NVQ level 4. The deputy has completed her Registered manager’s award, NVQ level 4 and has nearly completed an NVQ assessor’s award. Two staff records were checked. These contained evidence of identity, evidence that a satisfactory CRB check had been undertaken and two written references. There was a completed application form for each, which detailed previous experience and made a declaration of medical fitness. There was also interview notes. Staff asked said that they had received a statement of terms and conditions of service. The home does not recruit any volunteers. No agency staff have been employed at the home since the last inspection. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 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,and 35 The manager is experienced and is approachable. She manages the home very well. The quality assurance procedures, when fully operational will help the management team to ensure that the views of all are taken into account and that the service continues to evolve to meet any changing need. Adequate safeguards are in place to protect the financial interests of residents. EVIDENCE: Mrs Panch is the registered manager. She is also a registered nurse and has had many years of experience in the care of older persons. Mrs Panch has completed her NVQ level 4 and registered managers award. Mr Panch is the registered provider and has also completed his NVQ level 4. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 17 All those spoken with on the day of inspection complemented Mr and Mrs Panch on their commitment to providing a good service. Two visitors, for example, describe Mrs Panch and her staff team as kind, friendly and helpful. Mrs Panch is on duty every day during the week and is available at weekends if needed. Mr Panch also visits the home every day and ensures that he talks with residents to ascertain their views. There was documentary evidence that Mrs Panch and other staff members undertake periodic training to keep knowledge and skills up to date. There is a quality assurance system in place that has recently been developed. Detailed questionnaires have been sent out to all visitors and some completed ones were seen at the home. It was evident through discussion that Mrs Panch and senior staff had acted upon suggestions and comments made. Questionnaires have also been devised for visiting professionals although these have yet to be completed. Residents also have the opportunity to give written feedback and two completed forms were seen on file. Mr Panch completes a monthly written report regarding the running of the home and copies of these were seen. It was agreed that in future a copy of each report would be forwarded to CSCI as required under Regulation 26. No monies or valuables are held on behalf of service users. Mrs Panch said that any additional expenditure incurred by residents, for example hairdressing is paid for by the home and then relatives are invoiced for the amount. As stated in previous in section residents are offered secure storage facilities at the time of admission to the home. Although safe working practices were considered at the previous inspection and found to be satisfactory, records reflected that the electrical wiring is due for inspection and Mrs Panch agreed to arrange for this to be done. Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x x x x x x 3 STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 19 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 Whiteoaks DS0000012334.V261993.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 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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