Care Home: Chataway Residential Home

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What the care home does well People living at Chataway residential home told us they could choose how to spend their day and that activities of daily living were made flexible to meet their needs. People spoken with praised the staff employed and said they were treated with kindness and respect. There was a homely relaxed atmosphere at the home. The provider was very supportive to staff and to residents, people said he was approachable and took appropriate action when they needed him to. What has improved since the last inspection? Since the last inspection people spoken with told us they were treated with respect and kindness by all staff members. The provider has increased the time he spends at the home and now makes daily visits. What the care home could do better: The training that staff require to do their job and therefore meet peoples needs and protect them from harm must be updated. Care records must be regularly reviewed and reflective of peoples changing needs and should be more detailed about peoples social, cultural and religious needs. A medicines fridge must be provided for the safe storage of medicines that require refrigeration. Records of transactions of peoples personal money must be maintained and available for inspection, this is to minimize the risk of financial abuse. The electrical wiring at the premises must be tested to ensure it is safe and to protect people living at the home form harm. A suitable qualified and experienced manager is required to ensure the home continues to be run in the best interests of people living there. A quality assurance system which includes seeking the views of people living at the home would ensure that people had their needs and expectations met. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Chataway Residential Home 4 East Avenue Whetstone Leicestershire LE8 6JG     The quality rating for this care home is:   one star adequate 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: Debbie Williams     Date: 2 6 0 5 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 25 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Chataway Residential Home 4 East Avenue Whetstone Leicestershire LE8 6JG 01162848306 01162848306 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) : Clearvision (GB) Limited care home 14 Number of places (if applicable): Under 65 Over 65 14 3 old age, not falling within any other category physical disability Additional conditions: 0 0 No one falling within category PD(E) may be received into the home when there are already 3 persons of category PD(E) accommodated in the home. Date of last inspection Brief description of the care home Chataway Residential Home is situated on a small cul-de-sac, close to the centre of Whetstone, and provides accommodation for up to fourteen older persons. The home is an extended detached house. Accommodation is on two floors; access to the first floor is via stairs or stair lift. There is a large lounge/dining room and conservatory. The home has a small but pleasant courtyard and garden area to the rear of the property leading from the conservatory. The home has both single and shared rooms, some with en-suite facilities. The home is situated close to some local shops, and is serviced by a bus route to the city Leicester. A copy of the last inspection report was available at the home. Care Homes for Older People Page 4 of 25 Care Homes for Older People Page 5 of 25 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: one star adequate 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: The main method of inspection used was case tracking this meant selecting three residents and tracking the quality of their care through checking records, discussion with them and observation of care practice. We also looked at the providers Annual Quality Assurance assessment which they sent us, this provides information about what has happened at the service since the last key inspection. During this inspection we spoke with four people who live at the home and one visitor. We also spoke with care staff and with the registered provider. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 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 9 of 25 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 moving into the home are provided with the information they needs to make an informed choice. More detailed assessments are required in order for staff to meet peoples individual needs and preferences. Evidence: People spoken with told us they were provided with the information they needed to make an informed choice before moving into the home. A needs assessment is carried before people move in and this is to ensure that the service can meet their needs. We looked at assessment records for the people we case tracked. Assessment records provided basic information about peoples needs and an assessment of risk. More information about peoples social, cultural and religious needs and preferences would assist staff better to meet individual needs. Care Homes for Older People Page 10 of 25 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 living at Chataway residential home have their health and personal care needs met but care records and medication storage require improvement in order to ensure people are not put at risk. Evidence: We looked at care records for the people we case tracked. A care plan is generated which is based on a needs assessment and provides care staff with instructions to follow in order to meet peoples needs. We found that care records had not been updated for two people and were therefore not reflective of peoples current needs, however, staff spoken with were aware of peoples current needs despite care plans not being up to date. Care plans also included risk assessments such as risk of developing pressure sores, risk of falling and nutritional risk assessments. Social services assessments and care plans were also included where this was applicable. Care Homes for Older People Page 11 of 25 Evidence: People spoken with told us that they had access to all necessary health care services such as GPs and community nurses. Care records also confirmed that people were attended by community nurses and saw their GP when they needed to. People spoken with praised the staff employed, one person said The staff are lovely, they treat you with respect, you can have a laugh with them. Interactions observed between residents and staff appeared positive and respectful. We looked at medication management procedures. Staff responsible for medication had received training. Medication administration records appeared accurate and up to date. People spoken with told us that staff managed their medication effectively and administered it at the right time. There was no separate fridge for the storage of medicines, a requirement was made regarding this. Care Homes for Older People Page 12 of 25 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. Routines of daily living are made flexible in order to meet peoples needs. Evidence: People spoken with told us they were able to choose how to spend their day and that activities of daily living were flexible to meet their individual needs. There were no restrictions on visiting and visitors spoken with said they were made to feel welcome when they visited the home. People spoken with felt satisfied with the range of social activities on offer and said there was enough going on to occupy them. We looked at menu records and spoke with people about the meals provided. Meals provided were nutritional and the lunchtime meal provided during this inspection appeared appetizing and well presented. People were not offered a choice at each meal time as there was a set menu but were able to ask for an alternative if there was something on the menu they did not like. The dining area is adjacent to the lounge and was congenial. People could choose to have their meals in their room or in the lounge if they preferred. One person spoken with said the food is lovely. There are no Care Homes for Older People Page 13 of 25 Evidence: separate catering staff but all care staff have received basic food hygiene training. Care Homes for Older People Page 14 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff training, policy and procedure could be improved in order to minimize risk for people living at the home. Evidence: The provider has a complaints procedure. One person spoken with said they were not aware of the complaints procedure but would make a complaint to staff should they need to. People spoken with said they would feel comfortable raising any concerns with staff, the acting manager or the owner and felt they would take appropriate action. We spoke with staff about safeguarding adults policies and procedures and they were able to demons rate a good awareness of the procedures they should follow in the event of suspected abuse. There had been no formal safeguarding adults training at the home since 2007 and a requirement was made regarding this. During this inspection, records regarding transactions for peoples personal money were unavailable, a requirement was made regarding this in order to minimize the risk of financial abuse. Care Homes for Older People Page 15 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A homely and comfortable environment was provided for people living at Chataway residential home. Evidence: Chataway residential home is a converted two storey house. Accommodation is over two floors. There is a lounge, dining room and conservatory on the ground floor. The lounge/dining areas and conservatory are furnished in a homely manner and provide comfortable accommodation to people living at the home. The provider told us there was a programme of routine maintenance at the home, however, there was not a current certificate of safety for electrical wiring, a requirement was made regarding this. There is a patio/garden area which is accessible to people with disabilities and equipped with garden furniture. Peoples private rooms were personalized and met individual needs. People spoken with said the home was regularly cleaned and was always clean and fresh. Records were maintained of fire alarm testing and servicing of fire extinguishers. The Care Homes for Older People Page 16 of 25 Evidence: environmental health office had visited the home in 2008. All care staff had basic food hygiene and infection control training and this minimized the risk of cross infection for people living at Chataway residential home. Care Homes for Older People Page 17 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Chataway residential home are protected by safe recruitment procedures. Staff were competent to do their jobs but training must be updated to ensure this continues. Evidence: We looked at staffing rosters and spoke with people living at Chataway and staff about staffing numbers. People spoken with said there was enough staff on duty to meet their needs and they were competent. The provider told us that all staff had achieved a National Vocational Qualification level two in care. We looked at staff recruitment procedures and staff records and found that all necessary checks and references had been done, this is to ensure that staff are suitable to work at the home and to protect people living there. We looked at staff training records, the provider told us they did not have the most recent training records available for inspection. We made a requirement regarding this. Care Homes for Older People Page 18 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service was well run in the best interests of people living there. The health, safety and welfare of people living at Chataway residential home would be better protected if all health and safety training and routine maintenance was up to date. Evidence: At the time of this inspection there was an acting manager in post, the provider was recruiting a manager to become registered with the Care Quality Commission. People spoken with said they had confidence in the acting manager and in the owner. Staff also said they felt supported by the acting manager and owner who were very approachable and would listen to their concerns or suggestions. There was no formal quality assurance system in place and residents meetings were not being held. We made a recommendation that a quality assurance system that includes seeking the views of people living at the home be introduced in order to Care Homes for Older People Page 19 of 25 Evidence: ensure the service provided is meeting peoples expectations. The provider said that records of transactions for residents money were unavailable during this inspection. The provider told us there was a programme of routine maintenance at the home, however, there was not a current certificate of safety for electrical wiring, a requirement was made regarding this. There were no recent records available regarding staff training in fire safety and fire procedures although staff spoken with said they had received instruction about fire safety procedures. We looked at hoist maintenance certificates and electrical appliance testing certificates and saw that these were up to date. Care Homes for Older People Page 20 of 25 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 30 18 All new staff employed should receive induction training that meets national training organisation specifications. 05/06/2008 Care Homes for Older People Page 21 of 25 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 1 30 18 Staff must receive all training 30/09/2009 necessary for them to meet peoples needs and these records must be available for inspection. This is to ensure that staff are able to meet peoples needs and protect their health, safety and welfare. 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 3 14 Assessment records must be 28/08/2009 more detailed and include peoples social, cultural and religious needs. This is so that staff have the information they require to meet peoples individual needs and preferences. 2 7 14 Care plans must be reviewed 31/08/2009 at least on a monthly basis and must be reflective of peoples needs. So that people living at Chataway have their needs met. Care Homes for Older People Page 22 of 25 3 9 13 A fridge suitable for the storage of medication must be in place. Medicines should not be stored in the domestic fridge. This is to protect the health, safety and welfare of people living at the home. 25/09/2009 4 16 22 The provider must ensure that people living at the home have access to the complaints procedure. This is to protect people living at Chataway residential home from harm. 28/08/2009 5 18 13 All staff must receive training regarding safeguarding adults. This is to protect people living at Chataway residential home from harm. 30/09/2009 6 35 20 Records of all transactions regarding peoples money must be maintained and available for inspection. This is to minimize the risk of financial abuse. 24/08/2009 7 38 23 The provider must ensure the electrical wiring at the home is tested and is safe. This is to promote safety and protect people living at the home. 30/08/2009 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 Care Homes for Older People Page 23 of 25 improving their service. No. Refer to Standard Good Practice Recommendations 1 33 It is recommended that a quality assurance system that includes seeking the views of people living at the home be introduced. This is to ensure that the service provided meets peoples needs and expectations. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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. 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