Latest Inspection
This is the latest available inspection report for this service, carried out on 15th June 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Whiteacres Residential Care Home.
What the care home does well There was a friendly and homely atmosphere at Whiteacres. Staff interacted with residents in a friendly and respectful way and made visitors to the home feel welcome. All areas of the home were clean, tidy and comfortable. What has improved since the last inspection? Since the last inspection a new acting manager had commenced employment and was being supported through the induction period by the providers who were visiting the home on a daily basis and accessible to staff by telephone out of office hours. Staff told us that the providers were contactable at all times. Care plans and risk assessments were in place for each person living at Whiteacres, care plans were more `person focused` and included peoples preferences. A new cook had recently been employed, there was a choice of menu and the cook had a good knowledge of peoples needs and preferences. Meals provided appeared appetizing and nutritious and staff assisted people with their meals in a sensitive and appropriate way. Staff were also provided with meals and took these with residents in the dining room. There were a range of activities on offer which were meaningful and met individual needs and preferences. Staff had received the training they required to do their job and to keep people safe, staff training and development was ongoing. What the care home could do better: The providers had appointed a new acting manager who intended to become registered with the Care Quality Commission but a period of stability and consistency is required in order to provide a clear sense of leadership and direction to ensure the home is run in the best interests of people living there. Key inspection report
Care homes for older people
Name: Address: Whiteacres Residential Care Home 40 Whitehill Road Ellistown Leicestershire LE67 1EL The quality rating for this care home is:
one star adequate service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Debbie Williams
Date: 1 5 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People
Page 2 of 23 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home
Name of care home: Address: Whiteacres Residential Care Home 40 Whitehill Road Ellistown Leicestershire LE67 1EL 01530260415 01530260415 genesishomes2003@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Genesis Homes (Essex) Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: No one in the category DE(E) may be admitted into Whiteacres Residential Care Home when there are already 18 persons of category DE(E) already accommodated in this home. No one in the category MD(E) may be admitted into Whiteacres Residential Care Home when there are already 18 persons of category MD(E) already accommodated within this home. No one in the category OP may be admitted into Whiteacres Residential Care Home when there are already 18 persons of category OP already accommodated in this home. Care Homes for Older People
Page 4 of 23 Over 65 18 18 18 9 0 0 0 0 No one in the category PD(E) may be admitted into Whiteacres Residential Care Home when there are already 9 persons of category PD(E) accommodated in the home. No person to be admitted to Whiteacres Residential Care Home in the categories OP, PD(E), DE(E), or MD(E) when18 persons in total of these categories/combined categories are already accommodated in this home. Date of last inspection Brief description of the care home Whiteacres is a home situated on the main road in Ellistown, a village in the North of the County of Leicestershire. The home is situated on a bus route to Leicester and Coalville, and is closely situated to shops and green areas. The home can accommodate up to 18 people, and is registered to admit residents within the Dementia (DE) Mental Disorder (MD), Old age (OP), Physical Disability (PD) groups. The home has 18 single bedrooms some having en-suite facilities. A number of bedrooms are under the current regulation size, though this has been recognised appropriately with information contained in the Statement of Purpose. Resident accommodation comprises of 2 lounge areas and a dining room, bedrooms are split between both floors in the home and a passenger lift services both floors of the home. A copy of the latest Care Quality Commission inspection report is available at the home. 2 6 0 1 2 0 1 0 Care Homes for Older People Page 5 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: 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: This key inspection included a visit to the service. We visited the home on the 15th of June 2010. The main method of inspection used was case tracking which meant selecting two residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. We also spoke with one relative. We checked all the standards which the Care Quality Commission have decided are key standards during this inspection. In some sections we have also checked additional standards, these will be detailed in the main report. At the time of this inspection, Social Services had imposed a suspension of placements, this means that no new admissions can be made at the home. This was in response to safeguarding incidents that occurred at the home. The providers were working towards Care Homes for Older People
Page 6 of 23 improvements and responding to concerns raised in a positive and professional manner. Care Homes for Older People Page 7 of 23 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 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 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 9 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 are provided with the information they need to make an informed choice before moving in to Whiteacres. Evidence: The service is registered to accommodate people who need care because of old age, dementia or mental health problems. The providers have produced a statement of purpose and service users guide which sets out the service and facilities provided and this is given to all prospective residents before they move in, this enables people to make an informed choice about moving in. At the time of this inspection there was a suspension of placements, this means that no new people were able to move into Whiteacres while improvements were being made, therefore assessment of this outcome area was limited. We looked at care records for people we case tracked and these included assessment
Care Homes for Older People Page 10 of 23 Evidence: records which inform staff about peoples needs, preferences and risks to health and welfare. Care Homes for Older People Page 11 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 living at Whiteacres had their health and personal care needs met. Evidence: We looked at care records for people we case tracked. People living at Whiteacres have an individual plan of care which sets out the actions staff must take in order to meet peoples needs. Care plans were person focused and included peoples preferences. We saw evidence within care records that people had good access to health care services such as GPs and community nurses, people spoken with told us that staff contacted their GP when this was required. Risk assessments were also included within care records, nutritional risk and risk of developing pressure sores were reviewed on a monthly basis and this ensured that staff could take action to prevent pressure sores or malnutrition where risk was identified. Care Homes for Older People Page 12 of 23 Evidence: We looked at medication policies, procedures and storage areas. Staff responsible for managing medication had received appropriate training and were following safe procedures, this was audited by the providers on a weekly basis. Interactions observed between staff and residents appeared extremely positive and respectful. Care Homes for Older People Page 13 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. Routines of daily living were made flexible to meet peoples individual needs and preferences. Evidence: People spoken with told us they were able to make choices about how to spend their day, what time to get up and what time to go to bed. Visitors spoken with said they were always made to feel welcome by staff. Peoples personal preferences were included within care records as was information about peoples life history, cultural and religious needs. It was evident that staff had a good awareness of peoples needs. There were a range of social and recreational activities provided, activities were designed to meet peoples individual needs and preferences. Staff provided daily opportunities for people to have manicures and to have cosmetics applied. We observed the lunch time meal and this appeared nutritious and well presented. A choice of meal was always available and staff used a pictorial menu for people with
Care Homes for Older People Page 14 of 23 Evidence: cognitive impairment where verbal communication was limited. Staff assisted people with their meals in a sensitive and appropriate manner. Staff also sit with residents and have their lunch with them. Care Homes for Older People Page 15 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 living at Whitacres are protected by complaints and safeguarding policies and procedures. Evidence: The providers have a complaints procedure which is available at the home and within the service users guide. People spoken with told us they would feel confident raising any concerns with staff or with the owners and felt that appropriate action would be taken. People also said the providers were very approachable and friendly, we observed the provider speaking with residents in the lounge and it was evident that he had a good relationship with people and was interested in their daily lives. Staff had received training regarding the protection and safeguarding of people and were able to demonstrate a good awareness of what to do in the event of suspected abuse. Staff told us they could contact the providers at anytime. The providers had reacted to recent safeguarding incidents at Whitacres in a positive and proactive way and were promoting a culture of openness within the staff group. Care Homes for Older People Page 16 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. The environment provided was homely comfortable and well maintained. Evidence: We undertook a partial tour of the premises and looked at the rooms of people we case tracked. The home appeared clean, tidy and homely. The provider was responsible for maintenance at the home. Information sent to us in the providers Annual Quality Assurance Assessment confirmed that all routine maintenance and safety checks of equipment and premises had been carried out. We looked at the personal rooms of people we case tracked, rooms seen were homely and personalized. Staff had received training in infection control but this had not been updated for some time. This training is necessary to minimize the risk of cross infection. Care Homes for Older People Page 17 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. Staff had received all the training they required to meet peoples needs and to keep them safe. Recruitment procedures minimized risk for people living at Whiteacres. Evidence: We looked at staffing rosters and spoke with people about staffing levels. People spoken with felt there were enough staff on duty to meet their needs. There was an ongoing staff training and development programme. We looked at staff training records and certificates, staff had received the training they needed to do their job. Many of the staff employed had achieved a National Vocational Qualification in care. All new staff are given induction training when they first begin working at the home. We looked at staff recruitment procedures and found that all necessary checks had been carried out and references obtained, this ensures that staff employed are suitable to work at the home and this promotes safety for people living at the home. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A period of management stability and consistency is required so that a clear sense of leadership and direction can be established. Evidence: At the time of this inspection a new acting manager had recently been employed and was being supported by the owners during her induction period. The acting manager told us they intended to apply to become the Registered Manager with the Care Quality Commission, however, there has not been a registered manager at this service for some time, we made a requirement about this at the last inspection and this requirement is still outstanding. A system of quality assurance was in place and this included seeking the views of people living at the home and their relatives. We looked at records for fire equipment testing and maintenance and saw these were up to date and in line with local fire authority regulations. Risk assessments were in
Care Homes for Older People Page 19 of 23 Evidence: place for all working practices and these had recently been reviewed. Information sent to us in the providers Annual Quality Assurance Assessment confirmed that all routine maintenance and safety checks of equipment and premises had been carried out. All staff had received mandatory health and safety training. There was a facility for secure storage of small amounts of personal money, we looked at transaction records, two signatures are obtained for each transaction, this minimizes the risk of financial abuse for people living at Whiteacres. Care Homes for Older People Page 20 of 23 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 9 13 A separate locakable fridge must be purchased for the storage of medicines that require refridgeration. This is to ensure that medication is stored safely. 31/03/2010 2 31 8 A suitable person must be 29/04/2010 appointed as manager and be registered as the manager with the Care Quality Commission. This is to ensure the home is run in the best interests of people living there. 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 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: 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 non-commercial 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 23 of 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
