Inspection on 02/08/05 for Whitworth House

This inspection was carried out on 2nd 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Whitworth House 12/11/07

Whitworth House 07/02/07

Whitworth House 17/05/06

Whitworth House 10/01/06

Whitworth House 08/03/05

Whitworth House 14/10/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Whitworth House 11 Whitworth Road South Norwood London SE25 6XN Lead Inspector James Pitts Unannounced Inspection 2 August 2005 10:00am & 15 August 2005 11:05am 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. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitworth House Address 11 Whitworth Road, South Norwood, London, SE25 6XN 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) 020 8771 7675 020 7924 5293 Mr Thomas Sawyer Mrs Christiana Sawyer Care Home 9 Category(ies) of Old Age (9) registration, with number of places Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 8 March 2005 Brief Description of the Service: Whitworth House, ideally sited in a typical residential street in South Norwood, is a double-fronted Victorian building within which up to nine older service users live. The house is conveniently close to all amenities. South Norwood High Street is at the end of the road, as is the Anglican Parish Church. The Roman Catholic Church is directly opposite the home. Transport links are excellent; Norwood Junction railway station and many bus services are within a short walking distance from the home. There is an extensive rear garden that provides a pleasant space for service users to enjoy during summer months. The home has eight single rooms, which all meet the minimum National Standard. The one ‘double’ room measures just less than the Standard by half a square metre. The people who share this room continue to prefer and enjoy doing so and this does not prove detrimental to them. Being a Victorian property does bring some disadvantages; such as the ‘half-landings’ necessitating some negotiation of stairs by service users wishing to access all parts of the home. The home has a passenger lift which does help to alleviate any difficulties for people who may have trouble using the stairs. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over the course of two visits. On the first visit the service users were seen. On the second visit the Inspector spoke with the proprietors and looked at some information about how the service operates. What the service does well: What has improved since the last inspection? The home has completed the decoration of the bedrooms that needed it. The home has a much improved set of policies and procedures that are written very clearly in order to guide staff in the way that they should carry out their duties. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 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. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 & 6 This home provides most of the information needed for potential service users and their relatives to make an informed decision about moving in to the home. The service users are assessed appropriately to ensure their needs can be met by the home and their rights are enhanced through their contract with the home. EVIDENCE: The statement of purpose was written last year. This includes reference to the Home’s policy regarding the shared room, and reference to there being insufficient space for a visitor’s room in the home. The statement of purpose was written with the assistance of the National Care Homes Association and is a well formulated document. The service user guide is also well written and gives the people who live at the home the information that they would wish to know. As referred to at previous inspections, a contract is available to each service user; this was drawn up some years ago with advice from the local authority Inspection Unit, and achieves all of the aspects as required by Standard 2.2. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 9 One new service user came to live at Whitworth House a few days before the date of the 2nd unannounced inspection visit. This person is living at the home on a trial basis until a decision is made about whether they wish to stay living here. It was good to see that the home had got the necessary information about what this person needs before they moved in. The home does not admit any service users for intermediate care and so standard six doesn’t apply. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8, 9 & 11 The Service users can feel confident that their personal care needs and physical and emotional health needs will be well met by this home. This ensures that the service users have the opportunity to maintain their dignity, have their rights respected and continue to enjoy a good quality of life. Service users can also have confidence that their health care needs will be attended to and that will receive the support and treatment that they need. EVIDENCE: The home is still able to demonstrate, through individual healthcare records, that service users are in regular contact with General Practitioners, District Nurses and other health care specialists whenever they need to be. The home also keeps records of all the service users healthcare appointments. Medicines are still ordered monthly so that there is not too much kept at the home at any one time. Each of the service users has staff assistance to Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 11 remember when they need to take their medicines. The staff then sign the correct medication records to show that this has been done. Training of 5 staff in all aspects of handling and administration of medicines was provided to on 15th July last year. Staff who have not had this training are not permitted to give medication. A copy of the certificate of accreditation from the pharmacist currently visiting the home is also available for inspection. The Inspector was told that the staff are all very clear that the proper and most appropriate procedures will be observed at any time that a service user passes away. Service users who have made their wishes known have these recorded in their care plan. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 14 The service users can be confident that the home will actively encourage and support them to keep and maintain personal relationships and friendships. The home also encourages service users to receive visitors. EVIDENCE: A variety of activities continue to be offered in the home alongside the usual TV: Ball games, Ludo, Bingo, Scrabble, sing-alongs and exercises-to-taped music are all provided regularly. Birthdays and other causes for celebration are seized upon to provide a diversionary activity / ‘landmark’ in service users’ lives. Visit to see shows that are held at Fairfield Hall are arranged and are usually well attended by service users. Service users continue to be engaged in a wide variety of activities including attending Church services, attending jumble sales and seasonal fetes and parties (organised by the local churches) and going to the shops with staff. Outings to the Park and further a field are arranged in the summer while in winter outings to local concerts, Church parties and the Pantomime are organised. Staff of the home remain very clearly committed to respecting the privacy and dignity of service users, which is acknowledged with significant praise from Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 13 both service users and their relatives who have had contact with the Commission in the last year. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Service users can feel confident that if they were ever to have any concerns about the home that these would be properly addressed. They can also feel safe in the knowledge that the staff of the home do all that they can to ensure that service users are protected from abuse or neglect. EVIDENCE: The home has not recorded any complaints since the last inspection and the inspector was told that this is because none have been made. The service users who spoke with the inspector said that they have absolutely no complaints about how they are cared for. The home has a proper complaint procedure. It is also noted that this home as a history of receiving very few, if any, complaints and that none have been made to the Commission to date. The manager has a good understanding of their duty to protect vulnerable adults. The home’s protection from abuse policy is clear and includes the need to refer any allegations of abuse to the local authority care management team. No complaints of abuse have been made to the Commission and the service users made none to the inspector during this visit. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 24 & 26 Service users can feel confident that they do, and will continue to, live in a comfortable, clean and well maintained house that meets their needs. The premises have also now been properly assessed by a qualified occupational therapist and appropriate handrails are in place. EVIDENCE: A handrail is provided at the side of the patio doors out to the garden. A short banister rail, which was thought to be needed on the left hand side of the short staircase from the ground level down to the kitchen, cannot be put into place, as this is a stud wall and will not support a rail whilst someone puts weight on it. This means that the home is mindful of the need to supervise service users when going down this small flight of stairs, although as there are no service user facilities in the area in question this would not occur frequently. It was required at the previous annual inspection that there needed to be a need for a professional Occupational Therapy assessment of the home. This was done. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 16 The double bedroom had been redecorated prior to the previous annual inspection and the bedrooms numbered 1 & 7 have now also be redecorated as the Inspector had previously told the home that this must happen. The lounge is a dimension where the seats are inevitably arranged on a ‘perimeter’ basis to enable unhindered views of the TV screen. The dining room is equally well filled with the seating and tables sufficient in number to provide for all of the service users to be able to eat together at the same time if they want to. The home remains clean and tidy and is free of unpleasant odours. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29 & 30 Service users can feel confident that there will be enough staff on duty to cater for their needs. The good level of care that is experienced by the service users could be jeopardised if the manager does not make sure that proper training and development programmes are in place for the staff. EVIDENCE: The proprietors assured the Inspector at the previous annual inspection that two staff were undertaking the NVQ level 2 award, with further staff awaiting the opportunity to start this qualification when the training agency used is able to accommodate them. There is still a lack of documentary evidence. This issue has been ongoing for quite some time and the proper evidence must now be given to the Commission. Three staff files were examined at the previous annual inspection and were all found to include enhanced CRB Disclosure certificates, together with details of identification, previous employment, and references. The staff files were reported as being limited in terms of other information provided, there being little evidence of interview notes and training achievements and needs. This is sadly still the case and this is another area that must improve without any further delay. It is, however, note that the staff files are kept in ring binders, Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 18 which is a better way keep them as it helps to gain access to the information far more easily. The proprietors assured the inspector at the previous annual inspection that new staff all have TOPSS Induction and Foundation training that is provided by a training agency. The Inspector who looked at the file of the newest member of staff and found that they had a certificate to say that they had completed an induction training programme before starting to work at Whitworth House evidenced this. All staff should still have an individual training and development profile, to be included on their staff files. This should detail the NTO workforce training targets and evidence that staff are fulfilling the aims of the home and are able to meet the individual and changing needs of service users. There is still a lack of accessible documentary evidence about the home being able to meet this requirement that has been repeatedly made but has still not been addressed. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35, 36 & 38 Service users cannot feel entirely confident that the home is run with their best interests at heart. Much more needs to be done by the home to show that they are seeking the views of the service users and other interested parties. views . Service user’s financial interests are safeguarded by the home’s policies and practice. Service users can feel confident that their health, safety and wellbeing are usually well catered for, with the exception that a full health and safety at work risk assessment needs to be completed in relation to how staff work with service users. EVIDENCE: In April 2005 the home obtained a full set of policies and procedures that the proprietors had obtained from a consultancy company. The need now is for the management and staff of the home to familiarise themselves with these and to Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 20 ensure that they actually adhere to them. This was discussed with the proprietors, one of whom is also the manager, and progress will be reviewed at the home’s next inspection. To assist open and specific future planning for the home, a Business and Development Plan should still be put into place. This would assist the proprietors and others to see where the business is going and how it intends to achieve its stated goals. This requirement remains outstanding from previous inspections and must be addressed without further delay. Individual service users again expressed highly positive satisfaction with the home. There is now some better evidence that service user meetings are taking place quarterly, although these tend to focus on talking about activities rather than also seeking their views about how the home is run. As mentioned in previous inspection reports there is still no specific Quality Assurance system in the home. The proprietors again accept the need for a QA system to be developed, focussing on the participation of service users, professionals, relatives / friends and others and for the feedback and material to inform a structured plan for the year ahead. At the time of the previous annual inspection, there was some indication of the home having made initial moves towards trying to achieve this objective, however, this work must now be completed. An annual Review/ Development Plan still needs to include a programme of proposed redecoration and renovation on a cyclical basis. A set of audited accounts required at the previous four inspections has now been provided. There remains no properly established formal system of staff supervision or appraisal (Staff supervision is a time that each member of staff can meet individually with the manager to discuss how they are progressing in their work and to resolve any employment and training matters). The proprietor / manager previously informed the inspector that regular supervision sessions with staff are taking place, but there remain very few records to show that this occurs at least six times each year, which is required. Staff continue to be supervised and monitored on an informal, ongoing verbal basis, but a proper supervision structure must be in evidence. It was reported at the previous annual inspection that not all of the records required by Schedules 3 and 4 of the Care Homes Regulations 2001 for the protection of service users and for the effective and efficient running of the business are not entirely appropriately maintained, or being kept up to date and accurate. The proprietors have clearly continued to make a number of positive strides in this direction; however, it is still necessary to continue the improvement and to not allow this area to deteriorate again. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 21 The proprietors were previously able to provide all documentation concerning the maintenance and servicing of the home’s equipment and services. The home has still not reviewed the Risk Assessments fully covering all aspects of the home’s conduct under the Health and Safety at Work Act. The London Fire Brigade, LFEPA, carried out a fire safety inspection on 4th November 2004. Mrs Sawyer, one of the two proprietors confirmed at the previous unannounced inspection that all of these recommendations had been achieved. This was also later confirmed by the fire brigade themselves when they visited on 13th May 2005 and wrote a report to say that the “All recommendations have been carried out”. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 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 3 3 N/A N/A 3 HEALTH AND PERSONAL CARE Standard No Score 7 N/A 8 3 9 3 10 N/A 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 N/A COMPLAINTS AND PROTECTION N/A N/A N/A 3 N/A 3 N/A 3 STAFFING Standard No Score 27 N/A 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 N/A 3 N/A 2 1 N/A 3 1 N/A 1 Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 23 yes 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 29 Regulation 18 Requirement The home must confirm in writing, and provide supporting documentary evidence, of the number of staff that have either obtained NVQ qualifications or are currently undertaking this course.and provide The staff files must contain evidence of interview notes and training achievements and needs. All staff must have an individual training and development profile, to be included on their staff files. This should detail the NTO workforce training targets and evidence that staff are fulfilling the aims of the home and meeting the changing needs of service users. (30.1) An Annual Review / Development plan must be evolved, involving consultation with service users, and be in line with a proper quality assurrance system. The home must ensure that staff receive regular formal supervision, and that this is evidenced in records of supervision sessions G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc 2. 29 19 Timescale for action When replying to the draft unannounc ed inspection report. With immediate effect With immediate effect 3. 30 18) 4. 33 24) With immediate effect 5. 36 18 With immediate effect Whitworth House Version 1.30 Page 24 6. 38 13 Risk Assessments must be reviewed and augmented to fully cover all aspects of the home’s conduct under the Health & Safety at Work Act 1974 With immediate effect RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 32 Good Practice Recommendations Service user meetings should regularly seek the views of the service users about how the home is run. Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 Page 25 Commission for Social Care Inspection 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Whitworth House G53 S25868 WhitworthHouseUI V211314 020805 stage4.doc Version 1.30 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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