Inspection on 06/05/09 for Wendleberrie House

This is the latest available inspection report for this service, carried out on 6th May 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wendleberrie House 04/11/05

Wendleberrie House 18/05/05

Wendleberrie House 27/09/04

Wendleberrie House 15/04/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for older people Name: Address: Wendleberrie House 3 The Avenue Wellingborough Northants NN8 4ET     The quality rating for this care home is:   two star good 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: Keith Williamson     Date: 0 6 0 5 2 0 0 9 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) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 23 Information about the care home Name of care home: Address: Wendleberrie House 3 The Avenue Wellingborough Northants NN8 4ET 01933442160 01933440999 jwfeatherstone@btinternet.com jwfeatherstone@hotmail.com Mr John Winston Featherstone,Mrs Lynette Featherstone care home 8 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) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Wendleberrie House is small family run home providing personal care for up to 8 service users, within the categories of Old Age, Mental Health and Dementia over the age of 65 years. The home provides respite and long term care residential care, it does not provide nursing care. The home is privately owned with the Registered Persons having their own personal accommodation on the top floor of the premises; the Home has two single rooms and three shared rooms for the use of service users. Some of these bedrooms and the communal spaces, being the lounge and dining room, are on the ground floor. There is one kitchen from which meals for both the family and the service users are prepared. The home is located within walking distance of the main town centre and has its own large gardens, which are laid mainly to lawn. Care Homes for Older People Page 4 of 23 Over 65 8 8 8 0 0 0 Brief description of the care home Fees range from £345 to £550 according to assessed needs. Information about the home can be obtained from the Registered Manager in the form of the Statement of Purpose and Service Users Guide. A copy of the latest CQC report is also available from the office. 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: two star good 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 focus of the inspection is on outcomes for residents and their views of the service provided. The main method of Inspection used was case tracking which involves selecting a sample number of people and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case one resident was chosen. This visit took place over one day, commencing at 9.30am and took six hours to complete. An opportunity was taken to talk with Residents, manager and staff, look around the home, view records, policies and care plans. Residents were spoken with, and some made comments that have been included in this report. Information was obtained from the Annual Quality Assurance Assessment, which gives details about the home, and is filled in by the registered manager. A copy of the last Care Quality Commission (formerly the CSCI Commission For Social Care Inspection) report is displayed at the homes office, and copies of this report are available from the registered manager. Care Homes for Older People Page 6 of 23 The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. 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 Care Homes for Older People Page 8 of 23 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 9 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 10 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. The assessment process is detailed and effective resulting in accurate information for residents and staff. Evidence: The staff have developed the Statement of Purpose and Service User Guide, these documents are used to give information about the service to people considering a move into the home. The information includes the terms and conditions of their stay. This gives people a clear indication of the costs involved in living in the home. The persons file included a signed contract. A pre-admission assessment was completed, though the section on social care and leisure was left incomplete. This would provide information on how the person has chosen to spend leisure time in the past, and would provide a level on which to commence social care for the persons stay. The home does not offer Intermediate Care, which is a special type of care offered, following a hospital discharge. 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. Peoples health and personal care are sufficient to ensure people are safely cared for. Evidence: The care plans for residents are well written and easy to understand, with detailed daily records indicating what people have done on any particular day. The hand written care plan is made up from a number of documents that cover the care needed by the person. Though the plans are negatively based and focus on the problems that need resolving as opposed to the support required to remain active. There are also a number of areas where information could be added to broaden the plan, for instance areas such as mobility, sleep, diet, nutrition and religion were incomplete. Risk assessments are good with a number of areas covered, both the care plan and risk assessments had been reviewed. This indicates the staff recognise the changing needs of the person. Residents healthcare is good with evidence of recent health checks with the General Practitioner. Medication is adequately administered, with accurate recording of Care Homes for Older People Page 12 of 23 Evidence: medicines received and disposed off. The recording of what medicine is given daily, could be better recorded, as there were a number of crossed out and missing signatures, with others being illegible. Some liquid medication was not being measured out accurately, though the staff took steps to rectify the situation. Staff were noted to be polite and respectful with residents, and observed their privacy. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lack of information in care plans has the potential to leave vulnerable people without adequate stimulation, social or recreational care. Evidence: The resident group agreed that they participate in activities both in and out of the home. Some of the residents are enabled to go out on their own, and these type of individual activities are risk assessed appropriately. Residents also indicated that outside entertainers regularly visit the home. The case tracked resident only had part of their assessments and care plan completed regarding how they would like to spend their leisure time. The responsible person needs to ensure where the person is unable to assist in completing their previous life history, other means are sought to ensure the information held by the home is as comprehensive as possible. Residents agreed they were involved in the meal and menu choices, and staff have a list of dietary likes and dislikes. The residents did not pass many comments on the home, though when prompted, said they ( the sandwiches) are good, always plenty of filling. Care Homes for Older People Page 14 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 are confident that there concerns will be dealt with, and feel safe in the home. Evidence: The home has a complaints policy that people are aware of, and is available in the home. Complaints information is made available to people prior to moving into the home, and is contained in the Service User Guide. People spoken with at the visit stated they would feel happy about raising issues with the staff. There have been no complaints recorded by the home, since the last visit. There have been no complaints or safeguarding issues forwarded to the CQC (Care Quality Commission formerly known as the CSCI, Commission of Social Care Inspection). Staff are aware what to do and who to report onto, issues around safety of the people in the home. The staff group were aware of what action to take in view of a complaint of safeguarding issue becoming apparent. Care Homes for Older People Page 15 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Poor levels of decor in the laundry have the potential to place people at risk in the home. Evidence: The decor in the in the home is of a reasonable standard. There is no plan in place to refurbish or replace worn items of furniture, fixtures and fittings. The Registered Manager stated these are done when the time arises, based on ensuring the safety of people in the home. The staff are aware of cross contamination issues, and are supplied with the appropriate protective clothing to assist in protecting residents. The laundry is situated outside the home. The walls and floor are not currently in a sufficient state, to protect people against cross contamination or cross infection issues. Care Homes for Older People Page 16 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. People are protected by the homes recruitment practices, and training programmer. Evidence: There are staff employed in adequate numbers to provide care for the people in the home. Staff are provided with a programmer that commences with their induction training, and leads to the option of a professional NVQ in care, as well as periodic training updates in health and safety, fire and evacuation and other statutory training required by law. The National Vocational Qualification is a nationally recognised qualification in care. The recruitment process is good with staff going through a standard process of application form and references being obtained prior to interview. Successful applicants then have a povafirst and CRB (Criminal Records Bureau) clearances prior to starting work. These are obtained to increase the security of employing staff to work with vulnerable people. The residents did not pass many comments on the home, though when prompted, said the staff are nice. Care Homes for Older People Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, and the staff strive to ensure a safe environment for people living and working there. Evidence: The current registered manager is also the owner of the home, and has many years of experience in the care industry. The quality assurance for the home is ongoing with a questionnaire put out to residents, their relatives and staff on a regular basis. The residents and staff meetings also add to the overall quality assurance within the home, where people are asked on how the home could be improved. Staff supervision is regularly undertaken. This assists in the planning of staff training courses, as well as discussing residents care planning issues. Health and safety checks are periodically undertaken. Staff assist in the process by assisting with the tests and recording the outcomes. The staff continue to complete weekly fire alarm and monthly emergency lighting tests, and the fire risk assessment was also noted to be regularly reviewed. We asked to check the monies that the home held on behalf of the people, this was Care Homes for Older People Page 18 of 23 Evidence: accurate and agreed with the paper record held. Care Homes for Older People Page 19 of 23 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 Older People Page 20 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 1 7 15 The responsible person must 03/07/2009 ensure that care plans are fully completed. This would ensure staff have the full information on how people wish to be cared for and assisted. 2 9 13 The responsible person must 03/07/2009 ensure the correct doses of medication are administered at all times. This is to ensure the correct doses of medication is given to people. 3 26 13 The walls and flooring to the 15/07/2009 laundry, must be made impermeable. This is to ensure the safety of people in the home. Care Homes for Older People Page 21 of 23 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 1 3 Full information collected prior to a person being admitted would give good indicators as to how they may wish to spend their time at the home. 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. 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!