Inspection on 23/01/09 for Whyke Lodge

This inspection was carried out on 23rd January 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whyke Lodge 07/08/06

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Whyke Lodge 115 Whyke Road Chichester West Sussex PO19 8JG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sheila Gawley     Date: 2 3 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Whyke Lodge 115 Whyke Road Chichester West Sussex PO19 8JG 01243783989 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Abdullah Rajab Omar care home 23 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Additional conditions: 23 23 The maximum number of service users to be accommodated is 23 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Dementia (DE) Mental disorder, excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home Whyke Lodge is registered to accommodate up to 23 residents over the age of 65 who have a diagnosis of dementia. The premises are located in an adapted building close to the A27 in Chichester, West Sussex. Accommodation is provided on ground floor and first floor levels. The premises do not have a passenger lift. It has a comfortable sitting and dining room with further seating in the large foyer and on the landing. Care Homes for Older People Page 4 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is a 2 star good service. This means the people who use this service experience good quality outcomes. This site visit as part of the inspection process was carried out 23/01/09. It was undertaken by a lead inspector from the Commission for Social Care inspection. Prior to the visit all files held by the commission, complaints and safeguarding issues were reviewed. The home had sent us their Annual Quality Assurance Assessment for the inspection, which gave us the information we needed on the home and any documents required on Care Homes for Older People Page 5 of 23 the day were made available. We were in receipt of five surveys from people who use the service, two from staff and one from a health professional. People who use the service, relatives and staff were spoken to on the day and surveys undertaken by the home were available. People who use the service spoken to stated that they are happy in the home and that they enjoy the food. All appeared happy were well dressed and the atmosphere in the home was relaxed. One person stated that the staff are lovely. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good outcomes in this area, as there is a clear assessment and admission process.This judgement has been made using available evidence including a visit to this service. Evidence: People who use the service have their needs assessed prior to admission. These assessments were seen in the care plans inspected. Areas assessed include medical history, medication, mental needs, personal needs, routines, food likes, sleep, religion, mobility and moving and handling needs. Three relatives spoken to on the day stated that they were very happy with the admission process. Care Homes for Older People Page 9 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good outcomes in this area because all needs are assessed and met, set out in a plan and residents are treated with respect. Medicines are handled appropriately. Evidence: All residents had a plan of care. Three people who use the service were case tracked their care plans and medicine administration charts were inspected. The care plans inspected were clearly set out and contained information on health, personal and social need. The care plans were drawn up following an assessment of these needs. The plans had a photograph of the person on the cover. Assessments is in place for nutritional, mobility, hygiene, continence, and pressure areas. All health and personal care interventions are recorded. Health professional visits are recorded. Weight is monitored. There are daily records. Risk assessments cover falls, nutrition, skin assessment and moving and handling. The Care Homes for Older People Page 10 of 23 Evidence: care plans were up to date and had evidence of monthly review. One survey received from a person who uses the service commentedI have regular reviews of my care in the home. My daughter is present at these meetings with the manager. Health professional visits are recorded. Weight is monitored. There are daily records. Medicines are received, administered and recorded appropriately. Medicine administration charts inspected were up to date. There is not a controlled drug cupboard and it is a requirement of this inspection that one is put in place. Only people trained to do so administer medicines. Care Homes for Older People Page 11 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good outcomes in this area because the lifestyle in the home suits the people who live there. Evidence: One relative spoken to stated that the lifestyle in the home suited the people who use the service. Family involvment is encouraged. One person who uses the service helps out in the garden.There are at least four outside entertainers who attend once a month. Staff involve the people who use the service in dancing, exercises, singing and walks out, A music CD was playing on the day.Staff read the daily newspaper to people who also have the choice to have their own copy delivered. There are photographs and signs on door to help people orientate themselves in the building. Independence is encouraged. Visitors are welcomed and people are facilitated to attend church if they wish. Nurtitious meals are served from a four week ment and choice is offered. The meal seem prepared and served was enjoyed by the people who use the service. People spoken to stated that they enjoyed the food. We were in receipt of five surveys from people who use the service all expresseed satisfaction with all aspects of the home. Care Homes for Older People Page 12 of 23 Evidence: One stated there are regular visit from musical entertainers which I enjoy Care Homes for Older People Page 13 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good outcomes in this area because there is a complaints procedure and people are protected from abuse.assessed needs are met. Evidence: There is a clear complaints procedure which is included in the Statement of Purpose and Service User Guide. The procedure clearly identifies to whom a complaint should be addressed to and the timescales taken to deal with complaint. People who use the service were clear as to whom they can raise concerns with. All people who use the service spoken to feel complaints will be listed to. Some comments we received were I can speak to any of the staff, They listen to any concerns I may have and then act on them There are safeguarding policies and procedures in place and staff have had safeguarding training yesterday. Staff spoken to demonstrated knowledge of the procedures to follow. People have autonomy and choice in daily living, preferred times for going to bed and getting up were seen recorded in care plans. Care Homes for Older People Page 14 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good outcomes in this area because they live in a well-maintained homely and relaxed environment with pleasant grounds Evidence: The AQAA stated that there has been an extensive refurbishment program ongoing; so far they have refitted the kitchen, replaced the furniture in the dining room and refloored both rooms. The lounge and reception room both have new chairs, and bedrooms are being refurbished too. General decoration has also been extensive, and behind the scenes work such as re-roofing and the replacement of the central heating boiler has also been completed. The result is a warm and homely atmosphere and clean, airy and bright rooms that are well furnished and decorated. There is a large foyer with seating, a sitting room and a dining room domestic in style. There is an accessible garden which is kept tidy, safe and attractive. New sinks were seen which are to be fitted this week. The home on this occasion was neat clean and free from offensive odours. People spoken to expressed satisfaction with their surroundings. One survey received stated It is kept clean and fresh always Care Homes for Older People Page 15 of 23 Evidence: There are laundry facilities with suitable equipment to meet the needs of this client group. The laundry does not have a wash handbasin. This was discussed with the Provider who stated that he is planning a refurbishment of the laundry and will include the handbasin in this. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good outcomes in this area because needs are met by suitable trained staff. Evidence: Staff rotas showed staffing levels sufficient to meet the needs of people who use the service. There is housekeeping and maintenance support There are robust recruitment procedures in place and staff files inspected contained all the documentation required to ensure the protection of people who use the service. There was evidence of application forms with employment history. Criminal Records Bureau Clearance and POVA check, two references, identity documentation and photograph were all in place. Training records were seen in staff files. Staff spoken to all stated that the home is a pleasant and supportive place to work. Two surveys received from staff made positive comments on the home. There is a staff-training programme in place, which covers all mandatory training. Nine carers have achieved the National Vocational Qualification (NVQ) Level 2, and in is completing it at present. Two have attained the NVQ Level 3 and a further one is completing this. The deputy manager is completing the NVQ Level 4 in Care. The AQAA states Staff training certificates and induction checklists are kept in individual staff Care Homes for Older People Page 17 of 23 Evidence: files, and we also keep a staff training matrix in the office to enable us to quickly identify gaps in training. The home operates a key worker system which staff demonstrated an understanding of. Staff were also aware of Whistle blowing procedures. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good outcomes in this area because needs are met by suitable trained staff. Evidence: The registered manager who is also the provider has ensured that the requirements of the last inspection have been met. Quality assurance systems are in place The home sent us the AQAA when we requested it and it contained the information we needed. Surveys are sent to people who use the service, relatives and staff and results are collated. There are staff meetings. Staff supervision is up to date and staff spoken to feel well supported The home does not hold any allowances for people who use the service. Care Homes for Older People Page 19 of 23 Evidence: The registered manager ensures the health and safety of staff by providing mandatory training. Substances hazardous to health were stored correctly. There are contracts in place for the maintenance of gas, electrical and fire safety equipmen and certificates were seen. The home meets the requirements of the local fire and environmental health authorities. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person must 24/04/2009 ensure that Controlled Drugs are stored in a Controlled Drugs cupboard complying with the Misuse of Drugs (Safe Custody) Regulations 1973. To ensure the safe storage of medicines. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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