Inspection on 10/01/06 for Whorlton Grange Residential Home

This inspection was carried out on 10th January 2006.

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

Whorlton Grange Residential Home 24/04/07

Whorlton Grange Residential Home 14/07/05

Whorlton Grange Residential Home 17/11/04

Whorlton Grange Residential Home 19/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Whorlton Grange Residential Home Whorlton Grange Cottages (opp. Golf Club House) Westerhope Newcastle Upon Tyne Tyne & Wear NE5 1ND Lead Inspector Elaine Malloy Announced Inspection 10th January 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whorlton Grange Residential Home DS0000000462.V259514.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. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whorlton Grange Residential Home Address Whorlton Grange Cottages (opp. Golf Club House) Westerhope Newcastle Upon Tyne Tyne & Wear NE5 1ND 0191 214 0120 0191 214 0120 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) Wellburn Care Homes Limited Mrs K Moscrop Care Home 45 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (33) of places Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2005 Brief Description of the Service: Whorlton Grange Residential Home is a care home that provides personal care to 45 older people and older people with dementia. The home is located within Westerhope, and has extensive well-kept grounds. The property was converted to a care home and has been extended. Accommodation is over two floors with a passenger lift. A further extension and improvements to the building were competed in July 2005. Additional bedrooms, extra communal space, bathroom and a patio area were created at this time. The home has 39 single and 3 double bedrooms, 38 of which have en-suite facilities. There is easy access by public transport. Local amenities and shops are available in Westerhope. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 6½ hours. Standards were inspected through discussion with management and residents, and examining records. The building was also inspected. Each area that the home was asked to improve at the last inspection was checked. Surveys were made available to residents and their relatives/visitors to ask their opinions of the service. What the service does well: New residents have their care needs assessed before being admitted to the home. Each resident has care plans that show how their care needs will be met. Residents said staff treat them with respect and ensure their privacy and dignity. Residents are given choices and encouraged to make decisions in daily living. Residents are provided with variety and choice of meals and said they liked the food. Residents understand how to make a complaint. The home has procedures to protect residents from abuse, and residents said they feel safe living here. The building is kept clean and maintained to a high standard. There are good staffing levels to meet the needs of the number of residents. Care staff have either achieved or are studying for care qualifications. Staff are provided with a good variety of training that is relevant to caring for older people. The home has an experienced and qualified Manager. A range of methods is used to monitor the quality of the service. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Whorlton Grange Residential Home DS0000000462.V259514.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 Whorlton Grange Residential Home DS0000000462.V259514.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): 1 and 3. Up to date information on the services and facilities provided at the home is available. All residents have their care needs assessed before admission. EVIDENCE: At the last inspection a Recommendation was made to revise the home’s Statement of Purpose and Service User Guide. This had been addressed. Up to date information on the home’s services and facilities is available to current and potential residents. Evidence was seen that new residents have their care needs assessed before moving into the home. Where applicable the Care Management assessment is also obtained. Whorlton Grange Residential Home DS0000000462.V259514.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): 7, 9 and 10. Residents’ needs are regularly assessed, care planned and reviewed. Action has been taken to improve recording of controlled medication. There are practices to make sure residents privacy and dignity is maintained. EVIDENCE: A sample of resident care records was examined. Care needs are assessed through a variety of assessment tools. Care plans were recorded according to identified needs, and evaluated at least monthly. A system is in place to review individual’s care. Residents and their relatives are invited to attend these review meetings. At the last inspection there was an outstanding Requirement about the recording of Controlled Drugs. This had been addressed. There were now two staff signatures recorded for each entry in the Controlled Drugs Register. The times that Controlled Drugs are given were also recorded. Personal care and medical examination/treatment is carried out in private. Staff check how residents prefer to be addressed and their preference for Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 10 gender of carer. A portable pay telephone is available and some residents have their own telephones in bedrooms. Mail is given unopened and staff/relatives support residents in dealing with correspondence. Systems are in place to make sure that residents wear their own clothes. All clothing is labelled and there is named laundry baskets. Management agreed to buy individual bags to put tights/stockings/socks in for washing. Residents spoken with confirmed that staff treat them with respect and maintain privacy and dignity. Whorlton Grange Residential Home DS0000000462.V259514.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): 14 and 15. Residents are given choices and encouraged to make decisions in daily living. A good variety and choice of meals is offered and residents said they enjoy the food. EVIDENCE: Residents are encouraged to manage their personal finances for as long as they are able. Relatives and solicitors assist where residents no longer have capacity to do so. No one from the home/company has Appointeeship responsibility for any resident’s finances. Advocacy information is available. In practice many residents have relatives who advocate on their behalf. The extent of personal possessions that can be brought into the home is agreed before admission. Residents and relatives have access to personal records, and a signature sheet is kept in files as confirmation. A 3-week seasonal menu was in place. A new Chef had been appointed in the period since the last inspection. He talks with residents about the meals and has introduced new dishes to the menu. He was knowledgeable about fortifying foods to meet nutritional needs of older people. Preference sheets are completed that indicate each resident’s choice of meals. Residents spoken with, and those who completed CSCI surveys said they liked the food. Management were happy with the quality of food and said there is more Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 12 homemade food and greater variety. Nutritional needs are assessed and resident weights are monitored. No residents currently require assistance with feeding. Staff support some residents with meals through prompting and cutting up food. One resident uses a plate-guard. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 13 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): 16 and 18. Residents understand the process for making a complaint. There are procedures and staff training to protect residents from abuse. EVIDENCE: No complaints had been received in the period since the last inspection. Residents spoken with, and those who completed CSCI comment cards indicated they understood how to make a complaint. The home has policies and procedures for the protection of vulnerable adults and prevention of abuse. The updated procedure on whistle blowing (informing on bad practice) was discussed. The Manager said she would relay the Inspector’s comments to senior management. Staff are provided with relevant training. There have been no allegations of abuse. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 14 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): 19 and 26. The building continues to be maintained to a high standard. The home is kept very clean and there are measures to control infection. EVIDENCE: All areas of the home seen were nicely decorated, furnished and appropriately equipped. Resident bedrooms were personalised with their belongings. Some bedroom doors were not closing fully. The Manager agreed to make sure these were attended to straight away. Management and residents commented on the benefits of the additional lounge and outdoor space since the refurbishment last year. In the period since the last inspection bedroom furnishings, a carpet cleaner, and a new grill and fridge for the kitchen had been purchased. There were plans to redecorate and fit new carpets to the entrance hall and staircase. The building was warm and clean. There are cleaning schedules and domestic routines in place. The home has policies and procedures on infection control. Suitable hand washing facilities are provided in toilets, bathrooms, sluice, laundry and kitchen for staff hand washing. Bedrooms have liquid soap; the Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 15 use of paper hand towels was discussed. There is provision of disposable aprons and gloves. A number of staff have completed infection control training, including an accredited course on ‘Raising Awareness of Decontamination’. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 16 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): 27, 28, 29 and 30. There are good staffing levels to meet the needs of the number of residents. The home exceeds the standard for the number of care staff who have achieved care qualifications. The recruitment process for new staff has been improved. Staff are provided with a good range of training relevant to their work with older people. EVIDENCE: At the time of the inspection there was 40 residents. Weekly care and domestic hours have been increased. There is usually one carer additional to minimum levels in the mornings. Staffing is currently 6-7 carers in the morning, 6 carers in the afternoons and evening and 3 carers at night. Agency staff are not used. Existing staff provide cover for absences. 13 staff have completed NVQ qualifications and the remainder are enrolled to study at Levels 2 and 3. The home therefore continues to exceed the standard for the numbers of staff that have achieved NVQ care qualifications. There has been minimal staff turnover. There was one vacancy for a part time carer. This was being advertised. At the last inspection there was an outstanding Requirement and a Recommendation about the recruitment process for new staff. These had been addressed. Evidence was seen that Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 17 references were being obtained from appropriate sources. Records of interviews were now also being kept. Arrangements are in place for staff to be subject to Criminal Records Bureau checks. The checks for all current staff were examined during the inspection. New staff complete induction training to the required standard. Details of all training, and certificates are maintained. Since the last inspection there had been update safe working practices training, and further training on caring for people with dementia. In-house training that is linked to the home’s policies and procedures had also been provided. Topics included assistance with feeding, use of equipment, personal hygiene, bathing, toileting, communication, mobility, attitudes to caring, facing challenges, hazards, and mental stimulation. Training incorporates role-play to aid experience and understanding. The Manager said she was organising training specific to particular resident(s) conditions, for example Parkinson’s Disease. Further Protection of Vulnerable Adults training was being planned. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38. An experienced and qualified Manager manages the home. A range of methods is used to monitor the quality of the service, including meetings, surveys and audits. Some responses and comments from surveys to residents and relatives need to be addressed. Analysis of accidents has been introduced. EVIDENCE: Mrs Kathleen Moscrop is the home’s Registered Manager. She has over 30 years experience in care and hospital settings, with 17 years in senior/management capacity. She has managed the home for over 3 years and has achieved appropriate qualifications including the Registered Manager Award. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 19 Wellburn Care Homes, the company that owns the home is accredited with the ‘Investors In People’ quality system. The home has methods for monitoring the quality of the service provided. Surveys are available to residents and visitors. Resident and relative, and staff meetings are held. 6 monthly quality audit reports are carried out that focus on staff training, records and policies and procedures. A senior manager visits at least monthly and completes a report on the conduct of the home. CSCI comment cards were made available to residents and their relatives/visitors to obtain their views on the quality of the service. 9 residents completed CSCI comment cards. Each said they liked living here, feel well cared for, staff treat them well and their privacy is respected. 1 said they wished to be more involved in decision-making within the home and 3 said sometimes. 7 said the home provides suitable activities, 1 said sometimes (1 did not answer). Each said they like the food. Each said they feel safe here and know who to speak to if they were unhappy with their care. Additional comments were made as follows: “Food sometimes disappointing”. “Like living here and very happy with the care”. “I have made a lot of friends here and it has made me happy”. “Very happy here”. 5 relatives completed and returned CSCI comment cards. Each said they are welcomed into the home and are able to visit in private. 4 said they are kept informed about important matters affecting their relative/friend, and 1 said they are not. Each said if their relative was unable to make decisions that they are consulted about their care. 4 said in their opinion there was always sufficient numbers of staff on duty and 1 said there was not. 3 were aware of the home’s complaints procedure and 2 were not. None had ever had to make a complaint. 4 said they were made aware of forthcoming inspections and 1 was not. 4 were aware of access to inspection reports and 1 was not. Each said they were satisfied with the overall care provided. Additional comments were made as follows: “In my experience the home offers an extremely high standard of care to my relative”. “I think the team at Whorlton Grange work very hard to make all the residents and their families very comfortable with all aspects of their day to day living, and they make everyone very welcome. The Christmas party was proof of how much fun they can have; it was fabulous “Well done”. “My mother is very happy in this home and this is the most important point – staff are kind to her – although they sometimes frighten her by shouting because some residents are deaf. Movement around the building by residents seems to have been restricted recently – possibly due to ‘health and safety’ Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 20 but it seems a shame to hear residents told to ‘sit down’ when that is all they do all day! Laundry has the old problem – tumble-drying pleated skirts and woollens. Problems with regular administration of medication”. Further comments specific to continence and toileting were also made by this relative that were relayed to management. The majority of feedback received was positive. Management should address where possible those negative responses and comments. At the last inspection there was an outstanding Recommendation for accident analysis to carried out to identify any patterns. This had been addressed. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 21 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 3 Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP33 Good Practice Recommendations Management should address, where possible negative responses and comments from CSCI comment cards from residents and relatives. Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Whorlton Grange Residential Home DS0000000462.V259514.R01.S.doc Version 5.0 Page 24 - 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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