Care Home: Whitehall Lodge Care Home

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What the care home does well This home provides a clean, well maintained, safe and homely environment for the people who live there. People told us that they feel comfortable in this home and they like their rooms. There are good records which means that staff know what support each person needs and the way they prefer to be helped. The staff are well qualified and receive ongoing training so that they continue to provide the right support to people in the home. All staff are qualified to at least NVQ level 2. People are helped to receive the right services to maintain and improve their physical and mental health. People are helped to live full lives, maintaining contact with people in the community and going on outings and holidays. People are involved in decisions about their care and life in the home. People told us that staff listen to them and try to arrange what they have asked for. The home is well managed. The owner is also the manager. He and his wife are involved in all aspects of the home and they are committed to maintaining good practice and making improvements where possible. What has improved since the last inspection? There have been improvements to the building during the past year, including the installation of a handrail outside the front of the property so that there is safer access to the front door. The bathroom has been refurbished. Staff have received further training so that they can continue to meet the needs of the people who live in this home. Some policies and procedures have been updated. What the care home could do better: The manager plans to implement a more formal approach to quality monitoring and quality assurance in the home and a more formal system for supervising the staff. This should help to make sure that the high standards are maintained and improved on. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Whitehall Lodge Care Home 109 Whitehall Road Greets Green West Bromwich West Midlands B70 0HG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Lancashire     Date: 1 8 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 29 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 Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Whitehall Lodge Care Home 109 Whitehall Road Greets Green West Bromwich West Midlands B70 0HG 07773327464 01213536067 p.gunputh@btopenworld.com 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) : Mrs Soobhawtee Gunputh,Mr Pradeep Kumar Gunputh care home 3 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 3 The maximum number of service users who can be accommodated is: 3 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: Mental disorder, excluding learning disability or dementia (MD) 3 Date of last inspection Brief description of the care home Whitehall Lodge is located in a residential area of Greets Green, West Bromwich. The home is registered to provide care to a maximum of three residents who have a mental health diagnosis. The home is in a convenient location for a number of local amenities and facilities. There is a shop nearby and a park nearly opposite. The home itself is a traditional style semi-detached property. It has gardens at the rear and car parking at the front. The home is well maintained, comfortable and clean. Bedrooms are all single occupancy. There is an office and bathroom on the first floor, the lounge/dining area on the ground floor. The ground floor houses the homes kitchen Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home and laundry. A toilet is located outside of the kitchen and there is also a conservatory at the rear of the property. Details of the fees for this service are available on application to the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: Two inspectors carried out this inspection. We visited the home on a weekday, without telling anyone that we would be visiting. We looked round the building, talked to the manager, the three people who live in the home and three members of the staff team. Before the inspection the manager had provided us with information about how the home runs. On the day we looked at some of the homes records. We looked at the files for the people who live in the home and this included their care plans, daily records, activity records and risk assessments. We also looked at the staff training records, rotas, menus, safety records and minutes of meetings. We used this information to write this report. Care Homes for Adults (18-65 years) Page 6 of 29 Care Homes for Adults (18-65 years) Page 7 of 29 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. Care Homes for Adults (18-65 years) Page 8 of 29 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 Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Peoples needs and aspirations are fully assessed prior to coming to this home. Evidence: The home has a Statement of Purpose and service user guide which provide a description of the home and the services offered. We looked at the files of all the people living in the home and saw that their needs had been assessed before they moved into the home. The manager told us that he has delegated the task of assessing peoples needs to a suitably trained senior member of staff. He told us that any assessments by relevant health professionals and the views of other people such as relatives are taken into account when considering the suitability of the home. If it is considered that the home may be able to meet the persons needs, the person is invited to visit the home and meet staff and the other people who live there. Should they decide to move in, the assessments are used to form the basis of the care plans which help to let staff know how to support the person. There are rarely new admisisons to this home, but there has been one since the last inspection and the records show that the person involved had been provided with a chance to look at the Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: home and decide about moving in. Staff and people in the home told us that there is good information and people are provided with opportuities to visit the home and meet the other people living there before they make a decision about moving in. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: We saw that there is a care plan for each person who lives in this home. We looked at two plans in detail and found that they contain relevant details to help staff to know what support is needed and how the person likes to be supported. They are signed by the person concerned. The plans are detailed, with clear instructions. We saw that staff record, on a regular basis, the progress made in each area of the plan. They keep daily notes which show that they know how to look for possible signs of changes in peoples mental health so that they can take suitable action or seek professional advice. Plans are reviewed and updated regularly. Staff told us about many areas of peoples lives where they are encouraged to make Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: decisions. People in the home confirmed that they are consulted about their preferences in all areas of their lives, from when they get up to what they eat and how they spend their time. We saw records which reflect these choices. The manager told us that people are encouraged to take reasonable risks in order to be as independent as possible. We saw records of people going to the shops alone and going out to day centres. People told us that they participate in activities and showed us photographs of them enjoying these. Staff undertake and record risk assessments before people take risks. We saw that these are detailed and contain good examples of the actions which are taken to minimise the risk to people. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 supported to take part in appropriate activities and to maintain links in the local community. They are encouraged to have appropriate relationships and their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. Evidence: People at this home are supported to take part in a variety of activities and to go out into the local community. On the day of the inspection, one person attended a day centre, using ring and ride for transport and another went out to local shops. This helps people to build on their independence skills. The staff told us that they ask people where they would like to go on outings and are planning a trip to Dudley zoo and a holiday for later in the Summer. We looked at the Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: records of meetings and saw that all of the people in the home had been asked about outings. People showed us photographs of trips and holidays which they had enjoyed. The staff also support people to keep up relationships with people who are important to them. People told us that they visit relatives on a regular basis. The manager told us about a trip to Ireland which he arranged for one person to visit relatives. People are encouraged to develop new interests. For example, one person told us that she completed a photography course. When people are in the house, staff encourage people to do quizzes and to play games. People told us that they enjoy these sessions. Thes help to make sure that people do not get bored. The records show that people are involved in a range of daily living tasks such as shopping, light household tasks and helping to prepare meals. Staff told us that people are encouraged to develop their independent living skills in this way, but if they choose not to participate, their decision is respected. We looked at the menus and they show that people are provided with a healthy and varied diet. People told us that they are involved in preparing the menus on a weekly basis. Food is not bought on a bulk basis, as staff offer people the chance to go shopping with them during the week. On the day of the inspection one person was getting ready to go food shopping with staff. People are encouraged to maintain a healthy weight as staff try to provide guidance and health choices. The manager told us that the home tries to use low fat and low sugar varieties of everyday foods to help people to achieve their desirable weight without making a radical change to the foods they eat. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 receive personal support in the way they prefer and require so that their physical and emotional health needs are met. They are protected by the homes practices in dealing with medicines. Evidence: The records show that people in this home have few requirements in terms of physical personal care. Staff confirmed that they provide occasional prompting. There is no need for manual handling of people in the home at present. The care plans contain details of peoples health needs which are met through a range of healthcare services in the community. The records show that they attend appointments with various health care professionals including mental health services, dentists and GPs. The manager and staff are aware of the kinds of symptoms which may prompt the need for an appointment. Staff keep daily records which record changes in peoples behaviour and mood. The manager monitors these and helath professionals are contacted when necessary. This makes sure that people receive treatment promptly when they display relevant symptoms. Staff monitor peoples Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: weight and we saw the records on their files. There is suitable, secure storage for the medication. The home uses the services of a local pharmacist, who makes periodic checks on the arrangements in the home. All staff are trained to administer medication. We looked at the records and found that the records of doses of medication which had been given to people had been completed with no gaps. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. This home has systems to ensure that the views of the people who live there are listened to and acted upon, and good arrangements for protecting people. Evidence: People who live in this home told us that they are able to express their views and staff listen to them. There are procedures for dealing with complaints and the details of how to complain to the home and to outside agencies are included in the Statement of Purpose and service user guide to the home. The manager told us that the home has received no complaints since the last inspection. People in the home told us that they are happy and have no complaints. They said that they would go to the manager should they need to complain. We have not been contacted about any concerns. There have been no safeguarding referrals. There is a good system for recording the amounts of money held by the home on behalf of people who live there. Each withdrawal needs two staff signatures and the signature of the person concerned. We looked at these records and checked the receipts and amounts of money against the records and found them to be accurate. Staff have received training in recognising the possible signs of abuse and the action to take should they have any concerns. We saw that the local procedures for safeguarding people are in the office. There are also procedures for staff to report any Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: abuse which they suspect is happening in the home. They told us that they would feel confident to report any suspected abuse. This means that there are good arrangements for making sure that people are kept safe. Care Homes for Adults (18-65 years) Page 20 of 29 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 people at this home live in a homely, clean, safe and comfortable environment which is well maintained and where there are good arrangements for infection control. Evidence: We toured the building and found all areas clean, tidy and well maintained, with no unpleasant odours. On the ground floor there is a communal lounge and dining area and a conservatory, where people may smoke. These areas are homely and suitably furnished. There is also one bedroom and WC. The kitchen and utility areas are accessible through the living room. The rear garden is well maintained, with a variety of features and furniture for people to sit out in the warmer weather. On the first floor there is an office in addition to two bedrooms and a newly refurbished bathroom. We looked in two peoples bedrooms and found that they had personal items such as televisions, pictures and ornaments. People told us that they like their rooms and they chose the colours. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Staff receive training in infection control and food hygiene and there are suitable policies and procedures in these areas. We saw liquid soap and paper towels in the kitchen, WC and bathroom and these help to reduce the risk of spread of infection. We saw staff wearing protective aprons when completing food preparation. The home has received a gold award for food hygiene from Sandwell environmental services. Care Homes for Adults (18-65 years) Page 22 of 29 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 supported by adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. Evidence: The staff team is a stable one and the rotas show that there is adequate cover at all times. There is a system for people to be on call so that staff can obtain extra support if there is an incident or if they need to accompany people to appointments or outings. The manager told us that no use is made of agency staff. This means that people are supported by people who know them and their needs. The manager told us that staff are recruited through a standard process which includes taking up references and checks through the Criminal Records Bureau. Staff do not start work until the checks are completed and they receive induction training which meets the current requirements. We looked at records which confirmed this and spoke to staff about their training. Staff told us that they are encouraged to undertake NVQ training and in addition, they attend various courses which are relevant to their roles. There are good arrangements Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: for making sure that people update training in various areas and we saw that several dates had been booked for the near future. All staff have attained at least NVQ level 2 and one has level 3. Staff told us that they are happy at work and enjoy the training. We saw the minutes of a recent staff meeting which shows that staff are involved in planning work and consulted about possible changes. Staff and the manager told us that they receive ongoing and informal supervision on a regular basis. The manager told us that he plans to make this system more formal so that sessions are recorded. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 people who live in this home benefit from from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. Evidence: The manager, who is also the owner, is well qualified and experienced to run the home, having many years experience in the field of mental health and being a registered mental health nurse. He and the deputy manager have also recently obtained the Registered Managers Award. The manager demonstrated a good level of knowledge about the needs of each of the people in the home. As well as undertaking management roles, he participates in the activities with the people who live there and goes on holidays with them. People who live in the home are consulted about many aspects of its day to day management, such as daily routines, menus and outings. The home does send surveys to people occasionally, but the manager and staff told us that they prefer to talk with Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: people directly to obtain their views. There are systems to make sure that the high standards of service are maintained and we saw from the records that the manager makes sure that policies, procedures and other systems are kept up to date. For example, we saw leaflets about the Mental Capacity Act and the Deprivation of Liberty Safeguards. These are available for staff and formal training is planned. The manager is in the process of introducing a more formal quality assurance system. We saw risk assessments for the building, fire, people and tasks. These are clear and provide details of the measures which have been taken to reduce risks. For example, to reduce the risks associated with carrying the vacuum up the stairs, the owner has bought a second vacuum. The assessments have been updated to include risks which have been discovered more recently, such as the risk of falling in icy weather, and suitable action has been taken. Staff receive training in aspects of health and safety and we saw certificates which show that people who live in the home attend fire training with staff. Before the inspection, the manager provided us with information about the dates of the servicing and checking of equipment in the home. We checked a sample of dates against the records and found them to be correct. This shows that there are good arrangements to make sure that people who use the building are kept safe. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 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 Adults (18-65 years) Page 28 of 29 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!