Inspection on 14/07/05 for Whorlton Grange Residential Home

This inspection was carried out on 14th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Whorlton Grange Residential Home 24/04/07

Whorlton Grange Residential Home 10/01/06

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 Westerhope Newcastle upon Tyne NE5 1ND Lead Inspector Elaine Malloy Unannounced 14 July 2005 10:00 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. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whorlton Grange Residential Home Address Whorlton Grange Cottages Westerhope Newcastle upon Tyne NE5 1ND 0191 214 0120 0191 214 0120 n/a Wellburn Care Homes Limited 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) Mrs K Moscrop CRH 40 Category(ies) of DE(E) Dementia - over 65 (12) registration, with number OP Old Age (28) of places Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 17.11.04 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 ensuite facilities. There is easy access by public transport. Local amenities and shops are available in Westerhope. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 6 hours. Management, staff and residents were spoken to. Each area that the home was asked to improve at the last inspection was examined. The building and a range of records were also inspected. Part of the inspection concentrated on checking the new extension and building improvements. What the service does well: What has improved since the last inspection? The new extension and further improvements to the building have been completed to a good standard. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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 Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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, 3 and 4. Information on the home’s services and facilities is to be revised. New residents have their needs assessed before moving into the home. Residents care needs were being met. EVIDENCE: The home’s Statement of Purpose and Service User Guide are to be updated to reflect changes to the number of registered beds and facilities in the building. Revised copies should be submitted to the CSCI. Any person considering moving into the home has their needs assessed. Evidence of this was seen in the care record of the last resident admitted. The Care Manager’s assessment had been obtained. Pre-admission assessment of care needs, including risk assessment was carried out. The issue of requests to Care Management for reassessment when care needs change was discussed. At the last inspection a recommendation was made for management to review the use of designated staffing to residents within the older people with dementia category, and use of communal space. This had been actioned. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 9 A recommendation was also made for management to address negative responses and comments from CSCI comment cards. This had been followed up, as far as possible. Residents said they were very well looked after, and have good relationships with staff. They said they were happy living at the home and their care/support needs are met. Some residents talked about they had taken an active interest in the recent building works. They were now taking advantage of the new lounge area and, in finer weather the new patio area. They told the Inspector that there was always plenty to do in the home and regular opportunities to go out. Some residents described flexible routines and being offered choices in daily living. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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) 7, 8 and 9. Residents have care plans that show how their care needs are to be met. There are arrangements for residents to receive health care services. Some recording of medications still needs to improve. EVIDENCE: A selection of care records was examined. A range of assessment tools is completed. Care plans were generally well recorded and being evaluated monthly. The plans covered a range of health, personal and social care needs. Advice was given regarding a plan specific to a resident’s behaviour, and the wording of evaluations. Resident medical history is documented. Seven GP practices are used. The District Nurse was visiting weekly. Arrangements are in place to access the services of NHS and private podiatry, optician and dentist. Psychogeriatricians and Community Psychiatric Nurses provide input to residents with dementia. There was evidence within care records of visits by medical professionals and hospital appointments. Moving and handling, continence and nutritional needs are assessed and plans devised where necessary. At the last inspection a requirement was made to ensure two staff signatures are recorded for each entry in the Controlled Drugs Register. Examination of Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 11 the Register showed one occasion when one signature was recorded. Some gaps were also evident to the time medication was given. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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 and 13. The home offers a good variety of activities for residents’ social stimulation. Contact with family, friends and the local community is encouraged and supported. EVIDENCE: Residents gave positive comments about life in the home, activities, flexible routines and making choices and decisions. Each resident has a social assessment completed that gives details of their background, social interests and preferred routines. Social care plans are devised. The home produces a forward planned monthly activities programme. The programme for July 2005 showed a good variety of activities. These included exercise classes, reminiscence, sing-a-longs, various board and floor games, quizzes, arts and crafts, films, cards, dominoes, jigsaws, cake making, pampering sessions, and walks in the garden. Each month there is also outings, events and entertainment. The social diary is recorded daily indicating what activities have taken place and those residents who have participated. There had been trips to the theatre, garden centre, coast, circus, Amble Market, and Harry Ramsdens. There has been a visiting choir, various singers/entertainers, parties and celebrations. A barbeque was planned for later in the month. All events were recorded and photographs are taken. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 13 The majority of residents were said to receive generally good support from family. Contact is maintained through visits, letters, postcards, and telephone calls. Some residents have their own telephone in their bedroom. Relatives and friends are encouraged to visit and take part in social events, meetings, and individual reviews of care. Use is made of local amenities, for example local walks, shops, pub, café and community centre. The home’s representatives were reminded to document local outings and walks. The Inspector was told that the provider company had made a donation to a local nursery. The children had put together a ‘thank you’ book with pictures that residents had enjoyed looking through. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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 and 18. Complaints made about the service are dealt with appropriately. Residents are aware of how and to whom they can make complaints. There are systems to protect residents from abuse and staff receive relevant training. EVIDENCE: The home has a suitable complaints procedure, and forms for the recording of complaint investigation. One complaint had been documented since the last inspection. This was investigated and action taken straight away. A number of minor issues, relating to lost items were also recorded. Residents were able to describe how they could make a complaint. One resident made comments to the Inspector during the visit about being disturbed at night by doors being slammed. Management requested the Handyman to immediately check door closures to rectify this. A suggestions box, and thank you cards and letters are maintained. There are policies and procedures for the protection of vulnerable adults, including prevention of abuse and whistle blowing (informing on bad practice) and staff receive relevant training. There have been no allegations of abuse in the period since the last inspection. Residents told the Inspector that they felt safe living at the home. One lady described how she felt comforted that staff check on her during the night. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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) 19, 20, 21, 22, 23, 24, 25 and 26. The environment is very well maintained, has suitable facilities and was clean and comfortable. The new extension and further improvements to the building have been completed to a good standard. EVIDENCE: During the course of the inspection the Inspector checked completed building works. These have been carried out in line with an application to vary the home’s registration for an extra 5 registered beds. The works were done in stages and included upgrade of existing facilities and a building extension. They included creation of 5 bedrooms, additional lounge and dining space, an extra bathroom, and a new patio area. Work was completed to a good standard and all room sizes and facilities meet or exceed National Minimum Standards for Care Homes for Older People. Copies of relevant installation/completion certificates, confirming the work meets the requirements of standards, were provided. An assessment of the environment Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 16 with regard to aids and adaptations had been conducted by a qualified Occupational Therapist, and the report was submitted to the CSCI. Residents spoke positively about their comfortable surroundings and making use of the outdoor space. All parts of the building seen were well maintained and clean. At the last inspection a recommendation was made to make brighter lighting available in identified bedrooms. This had been actioned. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.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) 27 and 29. There is suitable care staffing to meet the needs for the number and dependency levels of residents. The recruitment process for new staff is not fully robust. EVIDENCE: The home currently maintains care staffing levels of 6 carers across the waking day and 3 carers at night. 20 of the Manager’s hours are additional to these staffing levels. There are sufficient weekly domestic and catering hours. Proposed staffing for the variation to registration of increased numbers of residents was discussed with management. Proposals are to be put in writing to the CSCI. At the last inspection a requirement was made to obtain references for new staff from appropriate sources. The files of 2 staff recruited in recent months were examined. One staff member had suitable references. The other had one professional reference however the other was a personal character reference that was sent to the referee’s home address. The professional reference stated the person had left to go to other employment. This did not match with the employment history provided in the application form. Proof of identification was on file and the Inspector was told that photographs were being taken. It was noted that neither file had a record of interview. Arrangements are in place for all staff to have Criminal Records Bureau checks carried out. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 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 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) 35 and 38. Resident finances are suitably documented. The home does not currently analyse accidents. EVIDENCE: Personal finance records were examined. A book is maintained with individual pages for each resident. Each entry was recorded with date, details of the transaction, invoice, debit/credit and cash balance. Receipts are obtained. Weekly checks of cash and balances are conducted. A spot check of a sample of residents’ recent transactions, receipts and cash was correct. At the last inspection a recommendation was made to carry out accident analysis to identify any patterns. This had not been actioned. Further advice was provided. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 19 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 2 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x 2 Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 20 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 9 Regulation 13(2) Requirement (Outstanding Requirement) (a) There must be two staff signatures recorded for each entry in the Controlled Drugs Register. (b) The times that Controlled Drugs are given must be recorded. (Outstanding Requirement) References for new staff must be obtained from appropriate sources. Timescale for action Immediate action 2. 29 19 Schedule 2 Immediate 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. 2. 3. Refer to Standard 1 29 38 Good Practice Recommendations Revised copies of the Statement of Purpose and Service User Guide should be submitted to the CSCI. Records of interviews should be kept when recruiting new staff. (Outstanding Recommendation) Accident analysis should be carried out to identify any patterns. Whorlton Grange Residential Home B53-B03 S462 Whorlton Grange V233387 140705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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. 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