Inspection on 11/08/05 for Whitfield Care Home

This inspection was carried out on 11th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Whitfield Care Home 22/04/08

Whitfield Care Home 24/04/07

Whitfield Care Home 08/11/06

Whitfield Care Home 28/06/06

Whitfield Care Home 06/02/06

Whitfield Care Home 08/03/05

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

CARE HOMES FOR OLDER PEOPLE Whitfield Care Home 107 Sandwich Road Whitfield Dover Kent CT16 3JP Lead Inspector Chris Randall Announced Inspection 11 August 2005 : 09.00 hrs th 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. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Whitfield Care Home Address 107 Sandwich Road, Whitfield, Dover, Kent, CT16 3JP 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) 01304 820236 Mr Kanagaratnam Rajaseelan Mr Kanagaratnam Rajamenon Sharon Wantstall CRH 30 Category(ies) of OP Old Age, not falling within any other category registration, with number - 30 of places Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Resident under the age of 65yrs is restricted to one whose date of birth is 16.01.1943. Date of last inspection 07.03.05 Brief Description of the Service: The Whitfield Care Home is a large detached residence which is registered to provide care for 30 older people. It is located in the village of Whitfield and is set back from the main road that runs through the village. At the front of the home there are parking facilites for several cars, and at the rear there is a small lawned area for residents use. Local shops and a post office are nearby, and there are also several public houses and take-away food premises. There is a regular bus service to the village. The town and port of Dover is within easy driving distance, with Deal, Sandwich, Canterbury, and Ramsgate just a little further afield. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day and took 11.5 hours (7.5 in the home plus preparation). The inspection included a tour of the building; talking to most residents 11 in some depth, 3 visitors, 6 members of staff, the manager and the area manager; observing lunch being served and interaction between residents and staff; and inspection of various records. The home was fairly clean but there were 3 bedrooms and a toilet with odour problems. Some of the recommendations from the last inspection have not been addressed. Residents looked well cared for and were generally happy. Resident comments included, “I love living here”, and “I have been very happy here, they look after me well”. This was the last inspection with the current manager who is leaving Whitfield on 19.08.05. What the service does well: What has improved since the last inspection? To comply with the recommendations made at the last inspection the menu is now displayed on a board in the lounge and is completed daily; a large shed has been provided in the rear garden for storage use; a wash hand basin has been fitted in the laundry; fire training has now been completed for staff; and new accident reporting books have been introduced. A new policy has also been introduced making the inside of the home a non-smoking environment. The deputy manager and a senior care assistant are both undertaking NVQ 4/RMA at college. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 6 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. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 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 Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 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 Prospective residents receive sufficient information to make an informed choice. They can be confident that the home will only accept residents whose needs they are confident of meeting. EVIDENCE: The statement of purpose and service user guide has recently been amended to include information on the new providers and the changes made to two bedrooms, but it will need further amendment to reflect the change of manager and the change that was mentioned to ‘1st Choice Care’. All residents are issued with a contract, which includes the number of the room to be occupied. These contracts, however, are all in the name of the old provider and therefore need amendment to reflect the new management of the home The manager visits all prospective service users at home to undertake an initial assessment and to find out their needs and abilities. This is done for both long term and respite residents. Joint assessments are also obtained for any prospective residents who are funded under the Care Management system. The assessments are used to form the basis of the residents care plan. The Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 9 home will not accept residents into the home unless they are confident that they can meet their assessed needs. All prospective residents are invited to visit the home for a cup of tea and a look around and are also invited to spend a day, having lunch at the home and taking part in any activities that may take place during this time. Initially residents come to the home for a holiday stay, following which the first month of occupation is classed as a trial period. The home does not offer intermediated care. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 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, 10, & 11 Documentation of care needs to be improved in order to evidence the quality of care that is given. Residents who are dying have their needs met and their dignity upheld. EVIDENCE: All residents have a care plan which includes a personal profile, physical and mental health assessments, various risk assessments, nutritional screening, Care assessment, needs and preferences, professional visits, and a bath record including record of water temperature. Currently the daily record diary is only completed when events happen and does not include the personal care support given to the resident, although the home has indicated that it intends to complete a daily report a requirement has been made to this effect. Care plans are not being reviewed regularly; the last review for one resident was recorded as January 05. A requirement is made that all care plans be reviewed monthly. It was witnessed that weights are not being recorded regularly the last time weight was recorded for one resident was February 05. A requirement has been made that these be carried out and recorded on a monthly basis. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 11 The home has good health care support with the local doctors, district nurses, continence nurse, CPN, Dentist, and Optician visiting regularly. Appointments are made at the hearing clinic at Folkestone hospital for residents with hearing problems. The district nurses assess any potential pressure areas and provide appropriate equipment when needed. Visitors’ comments included “we are very happy with the care that mother is getting and she is ecstatic, she is safe and comfortable” and “she certainly gets the care she needs”, and a staff member commented, “they get absolutely the right care” The residents have the opportunity for exercises and physical activity including a weekly keep fit session. Residents commented, “We have exercises on a Tuesday and that is very good”, and “we do P.T. on a Tuesday”. The home did have the services of a lady who performed hand massage for the residents, however unfortunately she has been unable to continue with the service. One resident said “the lady who did the hand massage got my hand moving but she does not come now”. Service users privacy and dignity is upheld, staff normally knock on doors before entering and call residents by their preferred name. Some residents have their own telephone lines fitted and there is a telephone available downstairs for those who need to use it. Where double rooms are being used there are screens to use for privacy. Residents comments included “the staff do treat me with respect”, and “some staff knock on my door, some don’t”. The home gives full care and attention to residents who are dying. Their choices and dignity are respected and visitors are welcome at any time with the residents’ approval. Families are able to sit with their loved ones over night if this is what they wish and they are provided with drinks, meals, and blankets to ensure their comfort. At this time the staff find that they do a lot of listening and the management gives support to the resident, the family and the staff throughout this time. District nurses also give a lot of support. Staffs try to attend funerals whenever possible. A member of staff commented, “We are doing a course on loss and bereavement next week”. Medication was not inspected and will be addressed at the unannounced inspection. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 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, & 15 Residents’ lifestyles have been compromised by the loss of some activities. Residents are able to retain contact with the families and friends and are provided with a wholesome diet. EVIDENCE: Residents’ preferences are recorded and they have choices in all aspects of their daily lives. Unfortunately, since the home changed hands, some of the entertainment that did take place has ceased for various reasons and this is a great disappointment to the residents. Currently Monday is music, Tuesday keep fit, and Wednesday music. The lady who used to run the bingo on a Friday is no longer available and the person who did hand massage is also no longer available. The home has a hairdresser who visits fortnightly and some residents have their own hairdressers who visit the home. The manager is currently trying to arrange for someone to come to do crafts with the residents, and the owners are considering holding a garden party and coffee mornings to make some money for a residents amenity fund to pay for additional entertainment. Resident comments included, “we have lost some of our entertainers”, “we do P.T. on Tuesdays, Music Mondays and some sort of music on Wednesdays”, “I like to be a bit independent”, and “I am pretty satisfied except for no coach tours, it would be nice to have a trip out occasionally like we used to”, staff members commented, “We need more entertainers”, and “Sharon (Manager) is getting details of someone to do crafts Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 13 with the residents”. A recommendation has been made that entertainment and outings be increased. Visitors are made very welcome in the home and can visit during any reasonable hours. Visitors commented “We are made welcome and get a cup of tea or coffee”, “we can visit whenever we want” and a resident commented, “my daughter visits and is always made welcome”. Residents, their families, or their powers of attorney handle their financial affairs and the home has no dealings with residents’ finance apart from small amounts of petty cash. Residents are able to bring their personal possessions with them into the home. Details of advocacy services are available for residents who need them. The home provides a nutritious, varied and wholesome diet and drinks are always available. A copy of the menu of the day is displayed on the notice board in the lounge where it states ‘if there is anything on the menu you don’t like ask and the cooks will give you an alternative’. The food served on the day of the inspection looked and smelt very appetising. Soft foods are served in the manner preferred by the resident, those needing this service at present do not like it served in separate portions. One resident commented, “the food is pretty good but sometimes the meat is not tender enough”. This comment formed the basis of a recent complaint and the manager has addressed it with the cook and the butcher”. Other resident comments included “We have a roast twice a week”, “The food is good”, “The food is so-so”, “we get plenty of drinks”, and “I can’t eat some foods so they cook something special for me, they have been very good”. A visitor commented, “Nan loves the food”. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 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, 17, & 18 Residents can be confident that their complaints will be listened to and that they will have their legal rights upheld and be protected from abuse of any kind. EVIDENCE: The home has a clear and concise complaints procedure. There have been 5 complaints to the home since the last inspection, all of a minor nature, and all of which, although substantiated, were addressed and recorded appropriately. There has also been an Adult Protection investigation, since the last inspection, which has now been closed; the home was congratulated by adult protection on their actions with regard to this. One resident commented, “I can’t complain about anything”. Residents’ legal rights are protected. If required they are given details of an advocacy service. They are able to take part in the election process, either by being taken to the polling station by their relatives or through the use of the postal voting system. Residents are protected from abuse. There are clear abuse and whistleblowing policies. All staff are trained in adult protection matters. Staffs are checked against the POVA register prior to employment. A staff member said “We have had in house adult protection training”. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 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, 20, 21, 22, 23, 24, 25, & 26 At present the environment at the home does not fully meet the needs of the residents. EVIDENCE: Whitfield Care Home is a large detached residence, well situated on the main road, within the village of Whitfield. Although the home has various corridors and could be considered to be a bit of a maze, it is still suitable for its use as a care home. At the front of the home there is parking provision for several cars. There are steps up to the front door, but there is also a slope around the side to allow for wheelchair access. The home is reasonably well maintained, and maintenance is ongoing. There is an area laid to lawn to the rear of the property, with garden table and chairs for residents to enjoy the fresh air and sunshine and there is a ramped access to this garden. New outdoor tables and chairs have been requested and it is hoped these will be available before the end of the summer. A gardener attends once a week to keep the lawn in order. There is a 2nd floor flat in the home that, in the past, has been used for Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 16 manager accommodation and as offices, this flat is currently unused, and is in the process of being redecorated. Communal areas consist of a large lounge which is laid out in several smaller, more cosy areas, a dining room, and a small lounge that residents tend use when they wish to speak in private to visitors without taking them to their own rooms. The home has 3 bathrooms and 7 toilets for all residents’ use, and a staff toilet. The recent alterations have increased the number of en-suite toilet facilities to 3. 2 of the bathrooms are fitted with assisted baths, the third bathroom is used by more independent residents. The home has not had an assessment of the premises and facilities by a suitably qualified occupational therapist and it is recommended that this be undertaken. There are, however, various adaptations available in the home and these include bath hoists, raised toilet seats, ramped areas, handrails etc. The lighting and furnishings throughout the home are domestic in type and appropriate to the needs of the residents. Since the last inspection one double bedroom has been altered to provide a single bedroom with en-suite facilities, and to form a proper corridor where this was previously a screened off area of the bedroom which is a great improvement. This alteration reduces the number of residents able to be accommodated by one to 29. A further bedroom and an unused bathroom have been altered to provide another single bedroom with en-suite facilities. Currently there are 25 single bedrooms (2 with en-suite toilet and washbasin facilities) and 2 double bedrooms (1 with en-suite toilet and washbasin). Bedrooms are homely in style and many of the residents bring in articles of their own furniture to personalise their own room. One resident said “I love my room”. Currently the bedroom doors can be locked from inside by the use of an ‘easy-break’ bolt. This is not considered to be appropriate and a requirement is made that all bedroom doors are fitted with locks suited to residents capabilities and accessible to staff in emergencies, and that all residents are provided with keys unless their risk assessment suggests otherwise. The guarding of all radiators to protect residents from harm was a recommendation on the last report. Some covers have been fitted with the priorities being decided following risk assessment. However there are still a lot of radiators that have not yet been covered and a requirement has now been made for these to be completed. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 17 Although the majority of the home was clean this was ruined by 3 bedrooms and one toilet which had a urine odour. A requirement is made that the home is kept clean and odour free. The home does not have either a sluice or a washing machine with sluicing programme and it is recommended that these be included in the ongoing development plan for the building. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 18 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 A dedicated, caring and well-trained team of staff cares for the residents. EVIDENCE: Staffing levels at the home are appropriate to the needs of the residents, however the providers’ instruction, not to employ agency staffs, has put the staff team under pressure. One staff member commented, “I like it here but at holiday times it’s a struggle to cover the shifts”. Residents commented, “The girls are all good”, “they do look after me well”, “I like the staff, they treat me well”, “I am quite happy here, the staff are all very nice”, and “the staff are very good, we have a laugh”. 8 of the 17 care staff have completed NVQ 2 in care (47.05 ), 2 staff are currently undertaking this training and a further 2 are due to start the course at the beginning of next year. In addition some staff hold NVQ 3 in care and the deputy manager and a senior care assistant are undertaking the NVQ 4/RMA qualification. All new staffs undertake induction training that meets with the TOPPS requirements. It is recommended that NVQ training of staff is ongoing to ensure the home reaches, and maintains, a minimum of 50 of care staff who are trained to NVQ2 Staff recruitment is appropriate with no staff being employed in the home until 2 satisfactory references and a POVA first check have been received and a CRB check has been applied for. All staffs are employed subject to the GSCC code of conduct, and all receive a statement of terms and conditions. It is recommended that staff files should now be updated to comply with the Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 19 revised Schedule 2. It is further recommended that all staff be issued with a revised statement of terms and conditions that reflects the current ownership of the home. A variety of training has taken place in the home over the past year. All staffs are refreshed annually in Fire procedures, health & safety, and moving and handling. 14 staffs are booked to undertake infection control training. Staff training certificates that had been gained over the years were witnessed and included NVQ Levels 2 & 3, medication, stroke awareness, disability awareness, adult protection, diabetes & glucose monitoring, palliative care, care planning, and E.M.I. A staff member commented, “we love college and furthering our education”. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 20 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, 34, 35, 36, & 38 The changes in ownership and management have an unsettling effect on the residents and staff of the home. EVIDENCE: The home has not long been in the ownership of the current providers and this inspection took place just over a week before the manager was due to leave the home. The various changes in management structure is unsettling to the staff and the residents. It is therefore recommended that to ensure continuity of care for the residents a new, suitable, acting manager be appointed at the earliest opportunity. As the manager is leaving the care industry she has not completed her NVQ4/RMA. However, the deputy manager and a senior care assistant are currently undertaking this qualification. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 21 Recently the manager has been required to undertake quite a few care duties as the new providers are reluctant to employ agency staff to allow for holidays and sickness. This has detracted from her ability to manage the home effectively. It is strongly recommended that the manager of the home be given sufficient time to undertake their management responsibilities and that management time is not eroded by the need to cover for staff who are on planned holidays or foreseen absences. The head office deals with accounting and financial procedures for the home. However, the providers have produced sufficient evidence of solvency to the CSCI to enable them to be registered as suitable to run the home. Insurance cover was up to date and at an appropriate level. The only resident finances that the home has any dealings with are small amounts of pocket money/petty cash. All transactions are properly recorded and receipts are kept. Supervision of care staff has not been completed as regularly as required and there have been no appraisals carried out this year, a requirement has been added that all care staff should receive supervision at least 6 times per year. The various maintenance and service certificates witnessed were all up to date. The home has both individual and environmental risk assessments in place. The security of the home is appropriate. One unsafe practice was witnessed, where opened food stored in the refrigerator, although covered was not labelled with the date it was opened, this should be carried out for all opened foodstuffs including jars of sauces, and a requirement has been made to address this. Not all staffs have been trained in infection control but evidence was seen that a course has been booked to address this shortfall. All accidents that happen in the home are recorded appropriately. Staff comments about the management included “We get plenty of support”, “we get support from the manager”, and “we hardly ever see the owners” Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 22 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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 2 3 1 1 1 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 1 x x 3 3 2 x 2 Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 23 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 7.1 & 7.4 Regulation 12 (1) (a) & 15 (2) (b) & (c) 14 (2) (a) & 17 (1) (a) Schedule 3 (o) 16 (2) (c), 12 (4) (a) & 13 (4) (a) (b) & (c) Timescale for action All care plans should be reviewed 31/08/05 with the resident monthly. A daily record shall be kept in the care plan of the residents well being and care delivered Weights of all residents should 30/09/05 be taken and recorded monthly Requirement 2. 8.9 3. 24.5 & 24.6 4. 5. 6. 7. 25.5 26.1 36.2 38.2 Doors to residents bedrooms shall be fitted with locks suited to their capabilities and accessible to staff in emergencies, and all residents shall be provided with a key to their room unless their risk assessment suggests otherwise. 13 (4) (a) All radiators throughout the & (c) home should be guarded.. 16 (2) (j) The home shall be kept clean, & (k) & 23 hygienic and free from offensive (1) (d) odours throughout 18 (2) All care staff shall be supervised a minimum of 6 times per year 13 (3) & All opened food stored in the 16 (2) (j) refrigerator or freezer shall be covered and dated. 31/12/05 31/12/05 30/09/05 30/09/05 31/08/05 Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 24 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. 4. 5. 6. 7. 8. Refer to Standard 2.1 & 29.5 12.1 22.1 26.6 & 26.8 28.1 29.1 31.1 31.6 & 31.7 Good Practice Recommendations Contracts for all residents and staff should be revised to indicate the new ownership of the home That the level of entertainment and activities be increased. That the home arranges an assessment of the premises and facilities by a suitably qualified person with specialist knowledge of the client group. That provision of a sluice facilility and a washing machine with a sluice programme be included in any development plans for the home Training should continue to ensure that a minimum of 50 of care staff are trained to at least NVQ Level 2 in care Staff files should be updated to reflect the revised Schedule 2 of the legislation To ensure continuity of care for the residents a new, acting manager, should be appointed at the earliest opportunity. That the manager of the home be allowed sufficient management time to undertake their management responsibilities and that this time is not eroded by the need to cover for staff who are on planned leave or forseen absences. Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Whitfield Care Home H56-H05 S63744 Whitfield Rest V235055 110805 stage 4.doc Version 1.40 Page 26 - 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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