Inspection on 24/04/07 for Whorlton Grange Residential Home

This inspection was carried out on 24th April 2007.

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 10/01/06

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 Glynis Gaffney Key Unannounced Inspection 24 and 26 April 2007 15:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 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.V330087.R02.S.doc Version 5.2 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 0261 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.V330087.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Whorlton Grange provides personal care for up to 45 older people, including 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 completed in July 2005. Additional bedrooms, extra communal space, a bathroom and a patio area were added 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. The current charge for a place is £395 to £420. Extra charges are made for hairdressing, private chiropody services, newspapers, toiletries. The most recent inspection report was available on request to residents, visitors and staff. Information about fees charged was included in the home’ s service user guide. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out: Before the visit: We looked at: • • • • • Information we have received since the last visit on 10 January 2006; How the service dealt with any complaints & concerns since the last visit; Any changes to how the home is run; The manager’s view of how well they care for people; The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 24 April 2007. During the visit we: • • • • • • Talked with people who use the service, staff and the manager; Looked at information about the people who use the service & how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills & training to meet the needs of the people they care for; Looked around the building to make sure it was clean, safe & comfortable; Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: The home was: • • • Clean, tidy, warm, well ventilated and odour free. There was evidence that the domestic team worked very hard and people said that they were very happy with the cleanliness of their bedrooms; Nicely furnished, well maintained and attractively decorated; Safe and free from potential hazards. DS0000000462.V330087.R02.S.doc Version 5.2 Page 6 Whorlton Grange Residential Home There was evidence that the company invested in the home ensuring that it was kept in a good condition. The home had access to a handyman two days a week. The premises were set in attractive landscaped grounds. own gardener. The home had its People wishing to live at the home are invited to spend a day at Whorlton Grange getting to know its routines, the staff and other people living there. They are also invited to participate in the lunch and teatime meals. There was a range of communal areas that could be used by people wanting to socialise or have private time to themselves. The home’s records were up to date, accurate and well maintained. Staff were kind, respectful, considerate and had developed warm and caring relationships with the people in their care. People living at the home were very satisfied with the care and support provided. Staff communicated with people in a positive manner, building upon their strengths and abilities. It was evident that staff were very proud of the standard of care they provided. People living at the home said that the quality of meals served was very good. The inspector attended the lunchtime meal and found it to be appetising, tasty and nutritious. It was also very nicely served by the staff on duty. There was a pleasant atmosphere at the home. Staff were welcoming and visitors were offered refreshments. Over 90 of the staff team had obtained a relevant qualification in care. The manager and some members of her senior team had completed extra qualifications allowing them to assess and verify the training undertaken by other staff working at the home. All the care staff had completed training in how to work with people who have dementia. There was a strong commitment within Whorlton Grange to ensuring that people living at the home had access to a wide range of social activities. A forward planner setting out the activities to be provided each month was in place. The home had identified a member of staff to act as the Whorlton Grange activity co-ordinator. Staff had been invited to complete a quality survey about how the company performed as an employer. In order to encourage staff to complete the Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 7 survey, the company agreed to donate a sum of money, for each survey returned, to a charity of the home’s choosing. 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. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 8 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 9 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.V330087.R02.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory arrangements are in place for assessing the needs of people before they are admitted into the home. The care records of people living at the home were satisfactory as they contained the required documentation and this provided staff with the information they needed to safely care for people living at Whorlton Grange. EVIDENCE: The care records of three people living at the home were examined. It was confirmed that there had been no admissions into the home until a full assessment of their needs had been undertaken. In one of the care records Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 11 examined, a social services assessment and care plan had been obtained. In two others, the home had carried out its own pre-admission needs assessment as the prospective applicants were privately funded. Qualified and experienced staff had carried out these assessments. The home had gathered preadmission information from a range of other sources such as hospital discharge information and minutes from social work meetings. The home’s preadmission assessment proforma covered the required areas with the exception of the needs of people from different cultural and ethnic backgrounds. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were good care planning and review processes in place. This meant that staff were clear about how they should meet the needs of people using the service. The health care needs of people living at the home had been satisfactorily met enabling them to lead healthy and comfortable lives. The systems in place to support the safe administration, storage and disposal of medication were satisfactory and promoted the good health of people living at the home. Staff respected the needs and wishes of people living at the home. This meant that people felt valued and able to retain control over the way they wanted to live their lives, in as far as they were capable of doing so. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 13 EVIDENCE: Three staff were interviewed. It was evident that they were fully committed to helping people living at the home to live fulfilling lives as independently as possible. During the inspection, there was evidence that the people using the service made their own decisions about how they lived their lives. For example, one person told the inspector that she decided when she went to bed, what time she got up at, what she ate for breakfast and how she spent her time. Another person said that staff “gently” supported her to make decisions that were in her best interests. A third person said that staff had helped her to accept that she could no longer do all of the things that she had done when she was young. She also said that she valued this support. The care records of three people living at the home were examined. Their care plans had taken account of the information contained in the assessments and care plans supplied by social services as well as that of the home’s own preadmission assessment. Care plans were based around peoples’ strengths and their preferences for how they wanted to be cared for. The needs of people living at the home had been clearly identified and plans put in place to meet those needs. For example, care plans covering the following areas had been put in place for one person: assistance required with getting up, going to bed, bathing, cleaning their teeth, personal hygiene, using the toilet; foot care, mobility, practising their religious beliefs and occupying their leisure time. The care plans examined were easy to understand and had been written in plain English. The manager confirmed that staff are expected to read peoples’ care plans if their needs change or, if they have been away from the home for some time. A key worker system was in operation and this allowed staff to work more closely with some people whilst also contributing to the care of all living at the home. A senior member of staff commented that she was expected to contribute to reviews and ensure that care plan information was up to date and accurate. Peoples’ care plans had been reviewed on a monthly basis. Where able, each person (or their family) had signed an agreement confirming that they had read what was in their care record. In each person’s care records, comprehensive risk assessment information was available. For example, risk assessments covering the following areas had been completed: nutrition, susceptibility to falling, mobility and living independently. A senior carer said that pressure area care assessments would be completed where this was thought necessary. The manager confirmed that, other than the use of the keypad system on the front reception door, no limitations had been placed on peoples’ right to make decisions and choices about how they lived their lives. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 14 The home had a medication policy that was available in the main office. All medication was stored in a locked cupboard to which only senior staff had access. The medicines trolley was clean, tidy and it was easy to identify what medication belonged to which person. Only limited stocks of medication were kept at the home. Photos to identify each person were in their medication records. Lockable facilities for the safe storage of medication were available in all bedrooms. There were records covering the ordering, administration and disposal of medication within the home. Although all staff administering medication had received accredited training, one member of staff had not updated their training since 2003. No incidents concerning the misadministration of medication had been reported to the Commission. A dispensing pharmacist had inspected the home in March 2007. Staff administering medication from the trolley in the main lounge were able to access anti-bacterial hand wash in the nearby staff toilet. Staff were aware of the need to treat people living at the home with respect and dignity when providing personal care. People said that they were happy with the way that staff cared for them. Staff were observed caring for people living at the home in a way that respected their right to privacy. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory arrangements were in place for providing people living at the home with opportunities to participate in a range of stimulating social activities and events. Suitable arrangements were in place supporting people living at the home with opportunities to maintain contact with their families and friends. People living at the home were supported to make positive and informed choices about the meals they ate. Mealtimes were relaxed and staff were patient and helpful giving people the time they needed to finish their meal comfortably. EVIDENCE: There was evidence that people living at the home were able to lead full, stimulating and fulfilling lifestyles. For example, the home’s activities coWhorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 16 ordinator had prepared a forward planner setting out the activities that would be provided during the forthcoming months. A copy of the monthly activity planner had been placed in each bedroom. The home had built up good quality information about resources available within the local community and surrounding area. Recently, people living at the home had participated in trips out to the Tynemouth Aquarium and various theatre venues. A photographic diary had been kept to provide people living at the home with memories of the events they had attended and participated in. A large visual display was available in the main reception area showing what activities were planned and when they were due to take place. At the time of the inspection, people were enjoying a musical afternoon provided by a local entertainer. People said that the home met their social needs and provided them with a variety of options to choose from over each month. For example, in a period of six days, one resident had: attended the home’s afternoon film club on two occasions; participated in an exercise class and attended the on-site hairdresser. A social care plan had been devised for each person living at the home. People spoken with confirmed that the manager and her staff always made families and friends feel welcome. People living at the home said that visitors could be seen in private or meet with their relatives in the lounges or dining areas. Nobody spoken with could recall the home placing any restrictions upon their visitors. The manager confirmed that peoples’ money could be kept in the home’s safe. Day-to-day support with managing finances is provided where a need to do so is identified. People living at the home said that they had been supported to bring their own personal possessions with them when they moved into Whorlton Grange. Staff were observed providing people with opportunities to make everyday decisions. For example, the manager said that people were consulted about what they liked to eat during the regular meetings held with people living at the home. Three week rotating seasonal menus were in use. These had been prepared by the chef taking account of suggestions made by people living at the home. Over reliance on tinned and pre-packaged food is avoided, with the emphasis being placed on regular deliveries of fresh meat, fish and vegetables. The food served at the lunchtime meal was of a good quality, well presented and met peoples’ dietary needs. Regular drinks and snacks were available throughout the day. The dining area was pleasant and had been nicely decorated. The tables were attractively set with matching crockery and crisp clean linen. For those individuals who needed support during mealtimes, this was carried out in a helpful and sensitive manner. The meal was relaxed and staff gave individuals the time they needed to finish their meal comfortably. People living at the home said that the meals served were always of a good standard Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 17 offering both choice and variety. They also said that they received enough to eat and drink and alternatives were available to the main menu meals. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints were satisfactory and people were confident that their complaints would be listened to, taken seriously and acted upon. Satisfactory arrangements were in place to protect people living at the home from harm or abuse. This meant that people could feel safe and protected in their own home. EVIDENCE: The complaints procedure provided staff with guidance about how to handle complaints. People living at the home said that they would be happy to raise any concerns they might have with the manager or a member of the staff team. Neither the home, nor the Commission, had received any complaints since the last inspection. The safeguarding policy provided staff with guidance about how to handle adult protection concerns. There had been no concerns raised with either the home, or the Commission, since the last inspection. All staff had received training in the protection of vulnerable adults. People living at the home said that they Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 19 felt safe and secure. Staff were able to satisfactorily describe the action they would take to protect people from potential harm or abuse. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory arrangements were in place to maintain, replace and improve the home’s decoration, furnishings and fittings. This meant that people living at the home were provided with comfortable accommodation that was well maintained and which satisfactorily met their needs. The bedrooms had been attractively decorated and nicely furnished. This provided people living at the home with comfortable and well-maintained private space where they could retreat to and receive visitors in. The home was clean and hygienic. This meant that people using the service were protected from contracting illnesses that might result in poor health. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 21 EVIDENCE: On the day of the inspection, Whorlton Grange was clean, safe, comfortable and well maintained. People living at Whorlton Grange said that they were encouraged to see the home as their own. The home was situated in the village of Westerhope and provided easy access to local community facilities and services. People living at the home had access to a range of communal areas such as lounge areas, a sunroom, a conservatory and a dining room. The provider and manager had ensured that the home’s physical environment met the individual requirements of the people who lived there. It had a wider range of specialist equipment and adaptations to meet individual needs. For example, a fixed hoist had been fitted in each bathroom. A grab rail had been placed beside each of the en-suite toilets. The manager said that extra toilet aids would be provided according to the needs of the person occupying the bedroom. The home was fully accessible to people with physical disabilities. For example, a lift had been provided to the first floor and there was a stair lift providing access to a separate first floor bedroom. The entrance to the home offered level access. The provider had an infection control policy. Anti-bacterial gel hand wash dispensers had been fitted in each bedroom, toilet and bathroom area. The home had established links with the local infection control nurse and some staff had completed more in-depth infection control training. The laundry was clean, tidy and well organised. There was evidence that the clothing of the people who lived at the home was treated with respect. For example, unnamed clothing had been ironed and hung up ready for families to try and identify any clothing that might belong to their relative. The manager confirmed that the provider sought her opinion about any decoration needed and furnishings that might be required. She also said that each bedroom was completely redecorated before a new occupant took up residency. Mostly single room accommodation was available and all the bedrooms visited had an en-suite facility. There were a small number of double rooms, one of which was occupied by a married couple. A small number of bedrooms were visited and were found to be clean, tidy, nicely decorated and attractively furnished. Each room had been personalised in line with the occupant’s preferences. Some of the bedrooms visited contained furniture that people Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 22 had brought in with them. One person confirmed that she had been offered a key to her bedroom. Door locks were of a type that could be opened by staff from the outside in an emergency. The kitchen was clean, tidy and well organised. preparation areas was available. A good range of food There was a range of assisted baths available on both floors. The bathrooms visited had been pleasantly decorated and homely touches such as pictures and curtains had been added. A thermometer was available in each bathroom to enable staff to test hot water temperatures. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient staff rostered on duty to meet the needs of people living at the home. This meant that people could be sure that they would get the help and assistance they required to live as independently as possible. The arrangements for ensuring that staff regularly updated their training in key areas were satisfactory. This meant that staff had the skills and knowledge required to meet the needs of people living at the home in a safe and professional manner. Satisfactory arrangements were in place to ensure that staff were able to complete a relevant qualification in care. This meant that people living at the home could feel confident that staff were trained and competent to do their jobs. EVIDENCE: The manager had developed an approach to devising the home’s rotas that worked well for her staff and the people living at the home. The manager confirmed that six staff were rostered on duty throughout the working day and Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 24 three night carers between 9pm and 8am. The manager had been provided with an extra 32 hours over and above what was needed to cover the rota. This allowed her to comfortably cover any shortfalls in the rotas. Staff interviewed said that the manager always checked out whether they were willing to work extra hours or change shifts to cover the rotas. Members of staff with extra responsibilities for health and safety and arranging activities had been allocated time to plan and carry out their work. The home had two vacancies that were being comfortably covered until the required staff could be recruited. Although agency staff had not been used within the home, known ‘pool’ staff had sometimes been used to cover the rota. Staff interviewed said that a high level of importance was attached to them undertaking the training they needed to do their job well. For example, the majority of staff had completed recent training in the following areas – food hygiene (infection control), first aid, health and safety and fire prevention. For those staff who needed to update their training, arrangements had been put in place to ensure that this happened. But, staff had not received moving and handling refresher training on a yearly basis. Over 90 of the staff team had obtained a national recognised qualification in care. The remaining two staff were in the process of completing this qualification. The file of a newly appointed member of staff provided evidence that they had completed induction training to the ‘Skills for Care’ standard. A profile of the training received by each staff member was in place. Each person had had a staff appraisal within the last 12 months, where their training needs had been considered. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 25 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provided a clear sense of leadership, involved staff and people living at the home in the management of Whorlton Grange, and demonstrated a commitment to providing people with good quality care. This meant that people lived in a home which was run and managed by a person who was fit to be in charge, was of good character and able to discharge her responsibilities fully. Steps had been taken to promote the health and well being of people living at the home and to protect them from potential hazards. This meant that people lived in a home where health and safety concerns were taken seriously and where concerns were promptly addressed to prevent them suffering unnecessary harm. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 26 There were suitable arrangements for keeping peoples’ money and valuables safe. This meant that people living at Whorlton Grange could be sure that their money and financial interests were being safeguarded. There was a satisfactory programme of regular and structured staff supervision. This meant that staff were properly supervised, received support and guidance in meeting the needs of people living at the home, and had their performance regularly appraised. EVIDENCE: The manager had obtained relevant qualifications, including the Registered Manager’s Award. She had extensive experience of working in both residential and hospital settings and displayed the professional competence required to manage such a home. She was ably supported by an experienced senior management team. There was evidence that she and her team worked very hard to improve the lives of the people living at the home. Staff felt that the manager’s style of leadership was fair, supportive and understanding. Staff also said they were clear about the standards of care which they were expected to achieve. The majority of people living at Whorlton Grange had requested that the home take on day-to-day responsibility for overseeing their money. Each person had their own separate purse in which their money was kept. A safe was available to ensure that their money could be kept secure. Staff signatures had been obtained for all money spent on behalf of people living at the home and receipts had been obtained and attached to their financial balance sheets. Access to the safe had been limited. Financial records showed evidence of regular audits. The home was not acting as an ‘appointee’ for any of the people living at Whorlton Grange. Internal systems had been developed to monitor the quality of care provided in the home. For example, quality surveys had been sent to people living at that the home and their relatives. Staff had also recently been surveyed. The manager confirmed that no surveys had been sent to other professionals visiting the home. Monitoring visits carried out on behalf of the provider had taken place on a regular basis. All staff working at the home had received supervision at least six times during the last 12 months. Supervision sessions were used to provide staff with feedback on their performance. Records had been kept of the supervision sessions held. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 27 A range of health and safety records were examined and found to be up to date. A tour of the premises identified no health and safety concerns. An audit of the home’s fire records confirmed that the required fire prevention checks had been completed. For example, the home’s emergency lighting and fire extinguishers had received monthly visual checks. An up to date fire risk assessment was in place. The home’s accident record contained the required details with the exception that the person completing the record had not always recorded their address. The home’s lift and hoisting equipment had been serviced twice in 2006. A gas safety visit had been arranged to take place during the week in which the inspection visit was held. All electrical appliances had been subject to the required safety checks. A range of workplace risk assessments had been completed. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 28 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 29 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 2. 3. 4. Refer to Standard OP3 OP9 OP30 OP33 Good Practice Recommendations Ensure that the home’s pre-admission assessment proforma addresses the needs of older people from different ethnic and cultural backgrounds. Ensure that staff who have been given responsibility for administering medication update their training on a yearly basis. Ensure that staff update their moving and handling training on a yearly basis. Ensure that professional visitors to the home are surveyed about how well Whorlton Grange meets the needs of the people in its care. Whorlton Grange Residential Home DS0000000462.V330087.R02.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V330087.R02.S.doc Version 5.2 Page 31 - 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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