Care Home: Chirnside House

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What the care home does well In line with the home`s policies and procedures, Chirnside House tries to make sure that equal care given to all the people supported. Consideration is given to their individual choices and and preferences irrespective of their race, gender, disability, sexuality, age, religion or beliefs. Many of the staff have been employed by the home for a long time and they have got to know the people cared for in the home very well. A `key worker`system is in operation which means that named staff are allocated to individual people. The key worker has added responsibility to ensure the needs of the person assigned to them are being met. Staff are well trained and there are a high number of staff with a National Vocational Qualification (NVQ) at level 3 in Care. The NVQ in Care is the nationally recognised qualification required for staff working in social care. 15 staff out of 22 have obtained NVQ level 3 in Care and 4 staff have NVQ 2 in care; a further 2 staff are working towards the qualification. The majority of ancillary staff have an NVQ according to their role such as NVQ 2 in Hospitality, Housekeeping and Food Safety. `Residents Meetings` take place on a regular basis and any issues that arise are taken in to account and action taken as necessary. What the care home could do better: There were no requirements or recommendations made at this inspection and the home continues to monitor its practice to ensure the needs of the people cared for are met in the best way. Random inspection report Care homes for older people Name: Address: Chirnside House Abbeyfield Close Scotforth Road Lancaster Lancashire LA1 4NL three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Dale Date: 2 8 0 4 2 0 1 0 Information about the care home Name of care home: Address: Chirnside House Abbeyfield Close Scotforth Road Lancaster Lancashire LA1 4NL 01524541720 01524541726 abbeyfield@ukonline.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Elizabeth Dewhurst Type of registration: Number of places registered: Conditions of registration: Category(ies) : Abbeyfield (Lancaster) Society care home 29 Number of places (if applicable): Under 65 Over 65 0 29 dementia old age, not falling within any other category Conditions of registration: 29 0 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP , Dementia - code DE The maximum number of service users who can be accommodated is: 29 Date of last inspection Brief description of the care home Chirnside House is a residential home situated on the outskirts of the City of Lancaster and close to the local amenities of Scotforth. The home is part of the Abbeyfield Care Homes for Older People Page 2 of 9 Brief description of the care home Society and can accommodate up to 30 older people of both sexes and offers a homely environment in an informal atmosphere. The home has a philosophy of care which includes encouragement of independence whilst providing personal care where needed. All bedrooms in the home are ensuite and of good size with good standard of furnishings. The people supported are encouraged to bring their own furniture and personal items. There are ample communal homes with a choice of seating areas according to choice. Activities are provided in the home and outings are arranged. The home has a very good standard of furnishings and fittings throughout, both the interior and the exterior of the home are very well maintained. Information about the services and staff within the home is contained within a Statement of Purpose and Service Users Guide available to any interested person. Any person considering living in the home are able to visit for a meal or for the day or stay overnight on a trial basis. The fees are currently £478:00 rising to £580:00 according to assessment and additional extras would be charged for separately such as hair dressing, newspapers or chiropody. Care Homes for Older People Page 3 of 9 What we found: The site visit was unannounced and focused on key standards with regard to Health and Personal Care and Protection. Various documents were examined belonging to the people cared for and staff. The registered manager completed the Annual Quality Assurance Assessment prior to the site visit that provided some statistical information and how well the home was meeting standards of care. Prior to the site visit surveys were provided to the persons cared for in the home and staff; their views and comments have been taken into account. The manager of the home has been in post since the last key inspection and is registered with the Care Quality Commission. Staff and the people cared for in the home made comments that the manager has made many improvements and maintained the excellent high quality standards of care provided. Ten surveys were returned from the people being supported in the home and were either recorded by a relative or the individual concerned. Comments when asked what the home does well included: Very good with games and things; good at looking after you. Plenty of activities, excellent laundry, send for a doctor if asked, help with bathing, rooms cleaned regularly. On the whole I find the home excellent, the rooms are comfortable, beds changed weekly. Most staff are kind and cheerful and polite. Routine care seems well organised for example answering calls. Keep home clean and provide good meals. Regular medication. Ten surveys were from staff and their comments were also positive as follows: Creates a home environment with extra care. Support for the elderly within a stimulating atmosphere and clean environment. Homely atmosphere with support of well experienced care staff at different levels. Good range of activities for residents to participate in. Everything is done to an exceptionally high standard. Chirnside House provides an excellent standard of care it is a clean and pleasant place to live and work. Looks after and trains their staff well. Very caring towards their residents both physically and mentally. Care Homes for Older People Page 4 of 9 The manager has attended training on the Mental Capacity Act and changed the assessment process to ensure that an appropriate assessment is undertaken. The Mental Capacity Act (MCA) was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. Any person who lacks capacity can be confident that any decsions made on their behalf will be made in their best interests. All service providers have to be aware of their duties and responsibilities placed on them by the MCA. The medication provided has been changed to blister packs and two staff are now present when medication is being provided. A new form has been introduced that has to be completed by staff each time they provide medication. A new fridge has been purchased for the storage of medication where required. The manager carries out regular audits on the recording and administration of medication. Only staff who have been trained to do so carry out medication assistance. Staff escort people to hospital when relatives are unable to do so. Privacy and dignity are recognised at all times and following an incident, ward screens have been purchased to allow some privacy in the event of an emergency or sudden collapse of one of the people cared for in a communal area. There are activities taking place each day of the week and there have been trips out to garden centres and local public houses. A coach trip took place to a local village where scarecrows made locally are on display. A photo board is in the reception area showing activities undertaken. By request, there was a repeat of entertainment provided in the form of Birds of Prey brought along by an expert that has been very well received. Medical students attend on placement at the home twice a year and they chat to the people in the home to ascertain their views and whether they have any concerns. There have been no formal complaints to the home or to the Care Quality Commission. All staff receive some information about safeguarding the people cared for in the home at Induction Training. All staff are gradually receiving certificated training on the subject and are aware of the reporting procedures in the event of any allegation of abuse. Each bedroom has a lockable safe for the safekeeping of any valuables and either a lockable drawer or cabinet for any medication. These measures and procedures ensure the vulnerable people in their care are protected as much as possible. As well as a lift a new stannah stair lift has been installed on the stair case and staff ensure they are on hand to assist at all times. By request at residents meetings, heaters have been installed in the en-suite toilets. Part of the garden area has been made secure to ensure the safety of the people in the home whilst they enjoy fresh air. Another lounge and dining area has been established with new furniture. One of the bathrooms has been changed to a wet room/shower. Refurbishment and maintenance are on going. More staff meetings are being held and one to one supervisions are on a rolling programme with formal recording being made. A second receptionist has been appointed which has freed up the staff and allowed them to provide more direct care. Two new Care Homes for Older People Page 5 of 9 computers have also been purchased to assist in the administration in the home. What the care home does well: 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 2. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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, 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 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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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