Care Home: Chalcraft Hall Care Home

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What the care home does well All people who use the service spoken to on the day stated they were happy with the lifestyle in the home. One stated, "I am so happy here". The surveys received all responded that staff listen and act on what the people who use the service say. One person who uses the service commented, "Staff come willingly". People who use the service spoken to stated that they enjoy the meals. Comments from people who use the service included "They do the food I like".The requirements of a recent Environmental Health Department report are being met and the report noted very good standards in the kitchen. What has improved since the last inspection? The home has met the requirements of the last inspection. Contracts and terms and conditions have been reviewed. A new call bell system has been installed. There has been a programme of redecoration with the purchase of new carpeting and furnishings. What the care home could do better: As stated in the AQAA the home needs to continue with its maintenance and refurbishment programme. CARE HOMES FOR OLDER PEOPLE Chalcraft Hall Care Home 76 Chalcraft Lane North Bersted Bognor Regis West Sussex PO21 5TS Lead Inspector Sheila Gawley Unannounced Inspection 3rd April 2008 09:30 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 Chalcraft Hall Care Home DS0000065445.V361236.R01.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. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chalcraft Hall Care Home Address 76 Chalcraft Lane North Bersted Bognor Regis West Sussex PO21 5TS 01243 821368 01305 889038 chalcrafthall@btconnect.com 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) Anra Care Limited Mrs Angela Barton Care Home 20 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (9) of places Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Chalcraft Hall is a residential home providing accommodation and personal care for up to twenty elderly persons. The current owners purchased the home in November 2005. The registered provider is Anra Care Limited for and the registered manager is Mrs Angela Barton. The home is situated in a residential area on the outskirts of Bognor Regis close to a local shopping parade and within easy distance of the town centre with it’s train station, shops and other amenities. The detached building is set in good-sized gardens consisting of paved areas and lawns. There is ample parking space to the front/side of the building. The accommodation is arranged on ground and first floors and there is a passenger lift. All rooms are for single occupancy, seventeen having full ensuite facilities and three with a WC and washbasin. There are two lounges and a separate dining room on the ground floor. The fees charged are £410-£585. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This site visit as part of the inspection process was carried out on 03/03/08. Sheila Gawley was the lead inspector and Liz Palmer attended to carry out a Short Observational Framework for Inspection (SOFI). This involved observing five residents for approximately one and a half hours and recording their experiences at regular intervals. Four people who use the service were also case tracked during the inspection. The Registered Provider/Manager facilitated the inspection and any documents required on the day were made available. Prior to the visit the service file was reviewed as were any comments or complaints received by the Commission for Social Care Inspection. The home had sent us their Annual Quality Assurance Assessment for the inspection, which gave us the information we needed on the home. Staff and people who use the service spoken to on the day stated that they were happy in the home. We were in receipt of surveys from four people who use the service, and one advocate. These comments were positive. Information from all of these sources is reflected throughout the report. What the service does well: All people who use the service spoken to on the day stated they were happy with the lifestyle in the home. One stated, “I am so happy here”. The surveys received all responded that staff listen and act on what the people who use the service say. One person who uses the service commented, “Staff come willingly”. People who use the service spoken to stated that they enjoy the meals. Comments from people who use the service included “They do the food I like”. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 6 The requirements of a recent Environmental Health Department report are being met and the report noted very good standards in the kitchen. 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. The summary of this inspection report can be made available in other formats on request. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 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 Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3, Standard 6 is not applicable 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: It was a requirement of the last inspection that contracts and terms and conditions were reviewed. This has been done and contracts were seen to be in place along with up to date terms and conditions, which include fees, what is included, and room to be occupied. People who use the service have their needs assessed prior to admission. In the care plans inspected these assessments were seen and were comprehensive including communication, medical need, personal need, mental wellbeing, vision, mobility, continence and fluid and dietary need. People who Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 9 use the service spoken to confirmed that they had this assessment. Care management plans were also seen in care plans in which social services detailed the care needs they wished to see being met. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7-10 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA stated that care plans have been improved since the last inspection. Four people who use the service were case tracked and were also spoken to on the day. All residents had a plan of care. Their care plans were inspected and they contained information on health, personal, nursing and social need. The care plans were drawn up following an assessment of these needs. This included mental, physical and social need, nutritional assessments, mobility, hygiene, continence, and pressure areas, and risk assessments. There was also a weekly psychological assessment and behaviour chart to monitor mental wellbeing. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 11 The risk assessments covered, moving and handling, nutrition and pressure area risk. There was also risk assessment associated with use of electrical equipment such as hair dryers. There were daily records and evidence of monthly review and weight is monitored. Access to specialist health support is available as required including general practitioner. The chiropodist visits six weekly. People who use the service are taken to the optician and dental appointments. Staff were observed offering care in a respectful and encouraging manner and people who use the service spoken to stated that they are treated with respect. People who use the service and a visitor spoken to stated that care is offered as assessed. One person who uses the service stated “They are absolutely excellent”. An advocates survey commented, “Staff are always very helpful”. The SOFI process showed that the residents in the lounge were mainly left to their own devices and staff only interacted with them when it was time to offer them a drink or a request for help to go to the toilet was made. When assisted by staff this was done with care and dignity and staff interacted in a positive way. Medicines are received, stored, administered and recorded correctly. Medicine administration charts inspected were up to date. Risk assessment is in place to establish if people who use the service can self medicates, no people who use the service do this at present. There was not a drug fridge and prescription items requiring refrigeration were stored in the kitchen. This was discussed with the registered manager and the proprietors who immediately agreed to purchase a drug fridge. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 People who use this service experience good outcomes in this area, because lifestyle in the home meets their expectations. Activities and events provided satisfy social, cultural and recreational needs. There is a variety of nutritional food on offer. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four of the five surveys received commented that there are always suitable activities to be involved in. The other commented usually. All people who use the service spoken to on the day stated they were happy with the lifestyle in the home. One stated, “I am so happy here”. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 13 The AQAA stated that there is entertainment every day, which can vary according to the group of people who use the service attending. This includes exercises, garden club, quizzes, table sales, bingo and a mini bus trip weekly. There is also a summer barbeque. There is a weekly church service. During the SOFI process we observed the daily life of residents using an observation tool called the ‘Short Observational Framework for Inspection. This involved observing five residents for approximately one and a half hours and recording their experiences at regular intervals. This included their state of well being, and how they interacted with staff members, other residents and the environment. This showed that that these residents were mainly left to their own devices and staff only interacted with them when it was time to offer them a drink or a request for help to go to the toilet was made. When assisted by staff this was done with care and dignity. The individual needs and preferences of one resident were upheld when this person was assisted to sit in front of the window and look at the bird box. Staff were observed speaking and assisting the residents in a polite and respectful manner. Later discussion with the Registered Manager indicated that the staff felt unsure of the SOFI process and felt they should not interrupt. The chef was spoken to and menus show that a varied and nutritious diet is available. People who use the service spoken to stated that they enjoy the meals. Comments from people who use the service included “They do the food I like”, “The girls who serve us are very pleasant”, and “The food makes my day”. The requirements of a recent Environmental Health Department report are being met and the report noted very good standards in the kitchen. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use this service experience good outcomes in this area, as there are policies and procedures in place for complaints and safeguarding adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Surveys received and people spoken to on the day of the visit all commented that complaints would be addressed if the need to complain arose. All of the surveys received responded “Always to the question “Do you know who to speak to if not happy”. All complaints are recorded and collated. A recent complaint that the Commission had been made aware of had been dealt with according to the procedure. The complainant was satisfied with the outcome. The AQAA stated that the home will continue to consolidate the rights of relatives or people who use the service to complain and that this is reinforced at staff meetings and meetings for people who use the service . The home ensures the information is clearly stated in each service-user Guide in each bedroom for the perusal of the people who use the service . There is a complaints Procedure in place in the hallway and a copy is given to all people who use the service. There are safeguarding procedures in place and staff spoken to are aware of the processes to follow. Staff files contained evidence of safeguarding training. The Registered Manager has booked a date Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 15 to attend the safeguarding adults road show arranged by West Sussex Social and Caring Services. She will cascade the new procedures to staff. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 16 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): 19,21, 23,26 People who use this service experience good outcomes in this area because they live in a safe and mainly well-maintained environment This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home externally and internally was decorated to a good standard. There are two lounges, a dining room and a hairdressing room. It was neat, clean and free from offensive odours. It has comfortable homely furnishings. Radiators are covered. Bedrooms are neat clean and personalised. People who use the service and relatives are consulted in the layout of the bedrooms. All bedrooms have a lockable safe and doors have locks. Carpets have been replaced in the communal areas and in some of the bedrooms. Some bedroom carpets still have worn areas, particularly around the doorsill area. The hallways are being Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 17 measured for new carpeting this week. Some new furniture has been purchased and installed. Some bedside tables have worn veneer exposing the plasterboard. This was discussed with the Registered Manager and the providers who agreed to replace them in their ongoing programme of maintenance. All but three bedrooms have ensuite facilities Issues around infection control identified at the last inspection have been rectified and antiseptic soap, paper hand towels, gloves and aprons are available throughout the home. Particular attention is paid to a room where the person who uses the service has continence issues. A new call bell system has been installed. The heating and lighting in the home meets the needs of people who use the service. Bedside lamps are available to all people who use the service. The requirements of a recent health and safety inspection are being met; the emergency lighting and fire appliances have been checked. There are suitable bathing and shower facilities. Taps have thermostatic valves to control the water temperature. Toilets are sufficient in number and are clearly signed. The laundry is sited away from food storage, preparation and serving areas. It has easily cleanable surfaces clean and has hand-washing facilities. Washing machines have the programmes necessary to wash clothes at recommended temperatures. The proprietors discussed plans to extend the laundry and kitchen areas and general plans to extend the property. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 18 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): 27-30 People who use this service experience good outcomes in this area because needs are met by a staff trained and qualified to do so. This judgement has been made using available evidence including a visit to this service EVIDENCE: Staff rota showed staffing levels were sufficient to meet the needs of residents, with four care staff on duty on the day of the visit, the manager, one cleaner, and the chef. 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 referenced, identity documentation, and photograph were all in place. The surveys received all responded that staff listen and act on what the people who use the service say. One person who uses the service commented, “Staff come willingly”. There is a staff-training programme in place which staff spoken to confirmed they attend. Training records were seen in staff files. The training provided includes food hygiene, moving and handling, fire, infection control, first aid and Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 19 health and safety. There is also ongoing training on dementia awareness, challenging behaviour and medication. A District Nurse supports training in administering insulin and monitoring blood glucose levels. Nine carers have National Vocational Qualification Level 2, four carers are completing this at present and one carer is completing National Vocational Qualification Level 3. This meets the minimum 50 recommended in The National Minimum Standards. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 20 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, 36,38 People who use this service experience good outcomes in this area because the home is run in the best interests of the residents. This judgement has been made using available evidence including a visit to this service EVIDENCE: The home is run by a person who is fit to do so. The registered manager has many years experience working with older persons and has achieved the NVQ level 4 in management qualification and the Registered Manager Award. There are quality assurance systems in place to ensure the home is run n the best interests of the people who use the service. Staff meetings are held Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 21 every two months; minutes of these meetings were seen. Memoranda are circulated during this time to circulate new information. People who use the service are surveyed and surveys are now being sent to relatives. The Registered Manager said she is considering sending surveys to professionals also. There is a weekly environment and medicines audit. Complaints are recorded and collated to monitor trends. There is a hygiene analysis in place and water temperatures are recorded. There is an annual food survey. Documentation to support these processes was available for inspection. The home does not handle monies for people who use the service. Staff supervision is in place and records of this were seen in staff files. Staff spoken to stated that they feel well supervised. The health, safety and welfare of people who use the service and staff is promoted and protected by the mandatory staff training programme and the provision of policies on health and safety which staff sign to confirm they have read. Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Chalcraft Hall Care Home DS0000065445.V361236.R01.S.doc Version 5.2 Page 25 - 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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