Inspection on 23/11/05 for Whitwell Park Nursing And Residential Home

This inspection was carried out on 23rd November 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whitwell Park Nursing And... 10/09/07

Whitwell Park Nursing And... 06/09/06

Whitwell Park Nursing And... 12/07/05

Whitwell Park Nursing And... 16/12/04

Whitwell Park Nursing And... 01/09/04

Whitwell Park Nursing And... 24/09/02

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

CARE HOME ADULTS 18-65 Whitwell Park Nursing And Residential Home 130 Welbeck Street Whitwell Worksop Nottinghamshire S80 4TP Lead Inspector Rose Veale Unannounced Inspection 23rd November 2005 10:30 Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 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 Whitwell Park Nursing And Residential Home DS0000002098.V263260.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 Adults 18-65. 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. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitwell Park Nursing And Residential Home Address 130 Welbeck Street Whitwell Worksop Nottinghamshire S80 4TP 01909 724800 01909 721127 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) Mrs Ann Gibbins Dr E DeSaram Mary Marsh Care Home 35 Category(ies) of Learning disability (35) registration, with number of places Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Whitwell Park is a modern, purpose built care home situated in the village of Whitwell, Derbyshire. The home provides personal care for 5 residents and nursing care for 30 residents with learning disabilities. Residents are accommodated in single bedrooms on two floors. Most of the bedrooms have en-suite toilets. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and the inspector was accompanied by a second inspector, Angela Kennedy. There were 33 residents accommodated in the home on the day of the inspection, including 5 residents receiving personal care and 28 residents assessed as needing nursing care. Residents, staff and visitors were spoken with during the inspection. Several bedrooms and the communal areas of the home were inspected. The care records of four residents were examined, plus other records relating to the staffing and management of the home. What the service does well: What has improved since the last inspection? What they could do better: Residents at the home did not have individual contracts with the home detailing the terms and conditions of living in the home. This must be provided to safeguard residents and promote their rights. Although there was informal quality assurance monitoring at the home, there was no formal system in place. This is necessary to ensure that the views of residents / their representatives are sought and used to underpin changes and developments in the home. Fire doors were found to be obstructed by chairs which would have prevented the doors closing if the fire alarm was activated. Fire extinguishers in one Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 6 lounge were obstructed by a pile of cushions. These matters need urgent attention to ensure the safety of residents and staff. 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. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 On the whole, the assessment information was sufficient to ensure that residents’ needs could be met by the home. Residents rights were compromised by the absence of individual contracts between the home and residents / their representatives EVIDENCE: At the previous inspection it was found that the assessments of residents’ needs had not been regularly reviewed. Of the four care records examined at this inspection, three had been regularly reviewed up to date. One care record contained some assessment information which had not been reviewed for over a year, although other assessments had been reviewed this year. All residents had a copy of the agreement from the local authority funding their place in the home. None of the residents had a statement of the terms and conditions of their stay in the home. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7 Care plans were clear and detailed to ensure staff were aware of the action required to meet the needs of residents. Residents were able to make decisions about their lives with support as needed. EVIDENCE: All the care records seen had care plans which were clear and detailed. The care plans had all been reviewed regularly up to date. Of the care files seen there was a section, which looked at the residents ability to make decisions within their daily lives, and how they could be supported by staff if needed, this demonstrated that residents’ rights were respected and only limited through the assessment process. One care file examined showed that a resident’s request to stay overnight with a family member led to discussions involving the family, the staff team and other professionals involved. From this, care plans and risk assessments were then put in place to allow this request to be granted. This demonstrated how individual choices had been made with assistance as needed. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 13 There was a clear focus on individual programmes of activities to ensure residents enjoyed a fulfilling lifestyle inside and outside of the home. EVIDENCE: An activities coordinator had recently been appointed working 35 hours per week. The activities coordinator had previously worked at the home as a support worker and so was knowledgeable about the needs of residents. Individual records were kept of the activities residents had taken part in with comments on whether they had enjoyed the activity or not. It was also recorded when activities were offered but refused by residents. On the day of the inspection, residents were involved in a range of activities, including making Christmas cards, baking a chocolate cake, working on ‘wordsearch’ puzzles, shopping, and going for a walk into the village. Residents observed and spoken with appeared to be enjoying the activities and the social interaction with other residents and staff. Staff spoken with said that the appointment of the activities coordinator had already made a difference to residents and gave an example of one resident whose challenging behaviour had reduced since the activities coordinator had started. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 11 Residents were encouraged and supported to be part of the local community by using local shops, pubs and the community centre. One resident was planning a shopping trip with a member of staff and was encouraged and supported to use local public transport. One residents care plan examined stated that they enjoyed going to the pub, cinema and shopping and liked to spend time on their personal computer and listen to music in their room, this resident required one to one support to undertake these activities, which was provided at the home. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Although Standard 20 was not specifically assessed at this inspection, a requirement made at the last inspection that medication must be retained in the home for 7 days after the death of a resident was followed up and had been met. The other key standards had been assessed and met at the last inspection. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Robust procedures were in place to safeguard residents from abuse and selfharm. Records of residents money transactions required attention to ensure both residents and staff are protected. EVIDENCE: The home’s adult protection policy included the multi-agency procedures of Derbyshire County Council. Records were seen of the training that staff had undertaken regarding the protection of vulnerable adults. Most of the staff had received training and there was a continuing programme to ensure all staff would be included. Staff spoken with confirmed that they had received training and that they understood the adult protection procedures. Physical intervention procedures were used within the home for residents with behavioural problems. Evidence of staff training in physical intervention procedures was seen and reports on physical intervention used was seen. This was robust in detail and included all the necessary and relevant information required to ensure residents were safeguarded from abuse or self harm. Arrangements were in place for the management of residents’ monies. These were held securely. Records were held separately for each resident, although many transactions only had one signature in place. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed at this inspection. The key standards were assessed and met at the last inspection. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 and 36 There was a good programme of staff training, ensuring that staff were appropriately trained to meet residents needs. Staff appeared well supported, although the supervision system needed further development. EVIDENCE: The staff training records were examined. There was a programme of training in place including fire safety, moving and handling, first aid, infection control, basic food hygiene, managing violence and aggression, and epilepsy. Staff spoken with said that training was a high priority at the home and that the manager actively encouraged and supported staff to undertake training. Staff supervision and appraisal records were seen. Staff supervision sessions were taking place, but further development was needed to ensure all staff were having regular supervision. Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The quality assurance system needed further development to ensure that the views of residents / their representatives were formally sought and used in the self-monitoring, review and development by the home. Safe working practices were in place to promote and protect the safety of residents and staff. EVIDENCE: There was an informal system of quality assurance at the home, including feedback from residents / their representatives at care reviews and residents meetings, and informal discussion with staff and residents / their representatives. Visitors spoken with said they were able to see the manager with any concerns or issues they wanted to raise. There was no formal system of quality audit and assessment to include the views of residents, their families or representatives, and staff. Records relating to health and safety in the home were examined. These records included the fire log book, incident / accident records, risk Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 17 assessments of the environment and tasks carried out in the home, and records of the servicing / maintenance of equipment. The records seen were well kept and up to date. Generally, the environment appeared safe for residents and staff. However, it was seen that some fire doors were held open with chairs, even though the doors had been fitted with alarm activated devices which held open the doors and then allowed them to close when the fire alarm was sounded. There was a pile of cushions and blankets obscuring the fire extinguishers in one of the lounges. Whitwell Park Nursing And Residential Home DS0000002098.V263260.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X 1 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X Whitwell Park Nursing And Residential Home DS0000002098.V263260.R01.S.doc Version 5.0 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 5(1)(b)(c) Requirement Timescale for action 28/02/06 2. YA39 24 3. YA42 23(4) Residents / their representatives must have individual contracts for the provision of services and facilities by the registered provider. A formal quality assurance audit 31/03/06 must be developed to include the views of residents / their representatives. Fire doors and fire-fighting 04/12/05 equipment must be kept free from obstructions. 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. Refer to Standard YA23 YA36 Good Practice Recommendations All recorded transactions of residents personal money should have two signatures to safeguard residents and staff. Staff should have regular, recorded supervision meetings at least six times per year Whitwell Park Nursing And Residential Home DS0000002098.V263260.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 Whitwell Park Nursing And Residential Home DS0000002098.V263260.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. 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