Inspection on 19/10/05 for Whittington Care Centre

This inspection was carried out on 19th October 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

Whittington Care Centre 17/07/09

Whittington Care Centre 30/06/09

Whittington Care Centre 29/08/07

Whittington Care Centre 11/05/06

Whittington Care Centre 21/01/05

Whittington Care Centre 09/08/04

Whittington Care Centre 26/02/04

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

CARE HOMES FOR OLDER PEOPLE Whittington Care Centre 40 Holland Road Old Whittington Chesterfield Derbyshire S41 9HF Lead Inspector Ivan Barker Unannounced Inspection 19th October 2005 09:30 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 Whittington Care Centre DS0000002097.V261464.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. Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whittington Care Centre Address 40 Holland Road Old Whittington Chesterfield Derbyshire S41 9HF 01246 260906 01246 269999 whittington@highfield-care.com 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) Southern Cross Care Homes Limited Ms Ememline Bingham Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 20 EMI PCN residents and 25 EMI PC Date of last inspection 25th May 2005 Brief Description of the Service: The Whittington Care Centre is situated in Old Whittington, which is north of Chesterfield. The home is registered to provide 45 places for elderly people with dementia needs and provides nursing and personal care. The home is on two floors Each of the floors has lounge, dining and bedroom facilities. There is a secure garden area, which offers pleasant facilities and is accessible by all residents within the home. Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on several of the ‘key standards’), and the previous requirements. The person present at the inspection was: Mr D Sales, Acting manager. Within this inspection, which occurred over a four and half hour period, the inspector toured the building, spoke with service users and staff and examined some documentation. Unfortunately no relatives were visiting at the time of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The registered person should comply with the requirements from this inspection. The requirements relate to staff supervision and the training of staff. Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 6 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. Whittington Care Centre DS0000002097.V261464.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 Whittington Care Centre DS0000002097.V261464.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): Standard 3 Accurate assessments will ensure that the home has sufficient information to be aware of the service user’s needs prior to admission. EVIDENCE: The home received service users’ assessments from the Social Services Care managers. The acting manager or senior staff prior to admission to the home assessed all service users. The new company was introducing new assessment documents, which were more extensive than the previous documents. Whittington Care Centre DS0000002097.V261464.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): Standard 10 On issues monitored by the inspector, service users were able to exercise their rights of choice and to privacy and dignity, as far as they were able to make these choices, because of their mental capacity. EVIDENCE: Standard 10 was discussed with the acting manager. Through observation and discussions with the acting manager and staff it was established that these standards were being met. Service users were able to wear their own clothes and to make a choice of the items to wear each morning. Service users were addressed by their preferred name. Members of staff were observed to knock on the bedroom doors before entering. Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 10 Visitors were allowed to visit the service user in the communal areas or in the privacy of their own room. Regarding the previous requirement relating to the security of documents, the acting manager informed the inspector that there had been a meeting with the staff, and the lack of securing the documents raised with them. Whittington Care Centre DS0000002097.V261464.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): Standards 12, 13, 14 Various activities were organised within the home, which would provide stimulation to service users and enhance their quality of life. EVIDENCE: The services user’s interests were recorded within the care plan documentation. There was an Activities co-ordinator who unfortunately was not on duty at the day of inspection. The acting manager informed the inspector that she was attending a Training course, in Sheffield. The acting manager shown the inspector the details of the course and he informed the inspector that the company had supported the activities co-ordinator by paying for the training. The inspector was shown evidence that there was a programme of activities and outings were planned. Also plans were already organised for the Christmas events and outings. A minibus was available to service users. This vehicle was shared by several of the homes within the company. Regarding the previous requirement, a menu was now displayed. Whittington Care Centre DS0000002097.V261464.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): Standard 18. The training of staff and the implementation of the correct procedures could assist in the awareness and reporting of abuse. EVIDENCE: The inspector was shown evidence, by the provision of training records that Adult Protection training did occur. The acting manager was able to show the inspector a copy of the Derbyshire Adult Protection procedure regarding the reporting of allegation of possible abuse. Whittington Care Centre DS0000002097.V261464.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): There has been compliance to the environmental standards raised at the last inspection. EVIDENCE: The previous requirements were assessed. The bathrooms had received attention. Four bathrooms had been completed and a plumbing company were completing the fifth bathroom, during the inspection visit. Locks had been fitted to the bedroom doors. Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 14 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): Standards 27, 29, 30. Current staffing levels in place would appear to meet the current dependency needs of service users, accommodated within the home. The delivery of care may be compromised due to the staff not being up to date with their moving and handling practice. EVIDENCE: On examination of the duty rotas and discussion with the acting manager the inspector established the following: On the am shifts, there were 1 qualified nurse and 6 care assistants. On the pm shifts, there were 1 qualified nurse and 6 care assistants. On the night shifts, there were 1 qualified nurse and 3 care assistants, plus 1 care assistant on a twilight shift. Plus the acting manager, team leader, activities co-ordinator and administrator. The acting manager and team leader identified that they were of the opinion that the staff were able to meet the service users’ needs, but often the workload on some shifts was disproportionate to other shifts. The inspector explained that there was no requirement to have an equal number of staff on an am and pm shift, and the numbers could be varied however the important factor was that care needs were met. Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 15 Also he explained that the activities co-ordinator would take some of the workload from the care staff when activities and outings were taking place. On the examination of 4 staff files, all contained the information required within Schedule 2 and 4. On examination of the staff training records the inspector established that the staff had not received their annual Moving and Handling training. The team leader informed the inspector that the training had been scheduled and rescheduled and then cancelled because of staff shortage due to sickness. New training sessions were now scheduled. The acting manager offered a timescale of 1 month to ensure that staff had undertaken a moving and handling course. The inspector accepted this timescale. Whittington Care Centre DS0000002097.V261464.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): Standards 31, 33, 35, 36, 38 Quality monitoring and accounting systems were in place to assist in the home. However the formal supervision of some staff did not occur. EVIDENCE: The registered manager was on maternity leave. An acting manager was in post. The Commission for Social Care Inspection had been informed of this temporary arrangement. The company had quality assurance systems, which were implemented by both the acting manager and the region manager. On examination of the staff supervision records, the inspector established that some staff had not received any supervision this year (from 1st January 2005). The standard require supervision to occur six times a year. On discussing this anomaly with the acting manager, team leader and qualified nurse, they were Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 17 unable to offer a full explanation why the supervision had not occurred. It was accepted that as there were approximately 10 weeks until the 31st December 2005 and that it would be impossible for all the staff to receive six supervisions in this period. Therefore it was agreed by all parties that all the staff would receive, at least, one formal supervision session within this period. Regarding the service users’ personal monies the home operated a basic credit and debit system, but involved the storage of monies in separate envelopes. On examination of the system the inspector observed that some account were accumulating considerable sums of money. The reasons for holding such monies were discussed and it was raised that the particular service users could spend some of the monies on personal items, outings etc which would enhance their quality of life. As far as could be established there were no health and safety issues except if any were raised with the previous section of the report. Whittington Care Centre DS0000002097.V261464.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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Whittington Care Centre DS0000002097.V261464.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. 1 Standard OP30 Regulation 18 Requirement The registered person must ensure that staff received adequate training in moving and handling practices. The registered person must ensure that staff receive formal supervision six times a year. Timescale for action 19/11/05 2 OP36 18 31/12/05 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 Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Whittington Care Centre DS0000002097.V261464.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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