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Inspection Summary


Overall summary & rating

Good

Updated 11 August 2018

We inspected The White House on 18 and 19 June 18. The inspection was unannounced. The service is primarily for elderly people, some of whom may have physical disabilities or dementia. At the last inspection, in May 2016, the service was rated as ‘Good,’ and as a consequence of this inspection the service retains this rating.

The White House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The White House accommodated up to 34 people, and the service had no vacancies at the time of the inspection.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was viewed by people we spoke with as very caring. We received positive comments about the service about the attitudes of staff. For example we were told, “Staff are very good,” and “kind.” A relative told us, “I am extremely pleased. (My relative) has said it is really, really nice being here. All the staff are kind and friendly.”

People told us they felt safe. A relative told us: “Yes I think it is most definitely safe.” and an external professional told us: “The home has always felt safe, and all the care I have witnessed has never caused me concern.” The service had a suitable safeguarding policy, and staff had been appropriately trained to recognise and respond to signs of abuse.

People had suitable risk assessments to ensure any risks of them coming to harm were minimised, and these were regularly reviewed. Health and safety checks on the premises and equipment were carried out appropriately.

There were enough staff on duty to meet people’s needs. The service had a suitable recruitment procedure, and appropriate checks were carried out on new staff to ensure they were suitable to work with vulnerable people. Staff were suitably trained. Staff received a comprehensive induction when they started to work at the service, and they received regular supervision to provide them with feedback and guidance about their work.

The medicines’ system was well managed, medicines were stored securely, and comprehensive records were kept regarding receipt, administration, and disposal of medicines. Staff who administered medicines received suitable training.

The service was exceptionally clean and hygienic. Relatives told us, “It is clean and tidy,” and “General cleaning is very good. My relatives en suite is cleaned daily.” The building was well decorated, well maintained and well furnished.

Assessment processes, before someone moves into the service are comprehensive. These assisted in helping staff to develop detailed care plans. The managers and staff consulted with people, and their relatives, about their care plans. Care plans were regularly reviewed.

People enjoyed the food and were provided with regular drinks throughout the day. Support people received at meal times was to a good standard, although we did witness some delays when food was initially served. Meal times were very well organised, and were a sociable occasion. Comments about food included, “It is very nice,” “Excellent,” although some people made less positive comments such as “It is nothing special but I get enough to eat.”

The service had well established links with external professionals such as GP’s, Community Psychiatric Nurses, District Nurses, and social workers. External professionals were very positive about the standards at The White House. For example we were told, ““We have a good relationship with the home,” and, “The White House is proficient in continuing with recommended

Inspection areas

Safe

Good

Updated 11 August 2018

The service continues to be safe.

Effective

Good

Updated 11 August 2018

The service continues to be effective.

Caring

Good

Updated 11 August 2018

The service continues to be caring.

Responsive

Good

Updated 11 August 2018

The service continues to be responsive.

Well-led

Good

Updated 11 August 2018

The service continues to be well led.