Inspection on 11/09/08 for Wentworth

This is the latest available inspection report for this service, carried out on 11th September 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wentworth 25/07/06

Wentworth 22/11/05

Wentworth 22/06/05

Wentworth 15/11/04

Wentworth 06/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE Wentworth 59 South Street St Austell Cornwall PL25 5BN Lead Inspector Alan Pitts Unannounced Inspection 9th September 2008 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wentworth Address 59 South Street St Austell Cornwall PL25 5BN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01726 72941 Mrs Heather Patton Mrs Pauline Stockman, Mrs Nancy Gilbert Manager post vacant Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person in category (DE (E) within overall numbers. Date of last inspection 2nd October 2007 Brief Description of the Service: Wentworth is an older property that has been extended and now provides care and accommodation for up to 20 older people. It is situated on higher ground overlooking part of St Austell and the surrounding countryside, but is still within walking distance of the facilities in town for anyone with reasonable mobility. As a family owned and run home, one or more of the registered providers are in the home daily. Accommodation is provided on three floors with stair lift access available to first and second floors. Communal areas are provided on the ground floor and comprise a dining room, two adjacent sitting rooms and a conservatory. The sitting rooms and conservatory overlook the gardens. The home is a non-smoking establishment. The home currently charges between £308.09 and £365.00 per week. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection carried out on the 11th September 2008. The inspector spoke with residents, the registered person, staff, and inspected records. The home was seen to be providing a good service to its residents who stated that they were happy and pleased with the service. The home provides a high standard of individualised personal care, where the wishes of the residents are paramount. What the service does well: What has improved since the last inspection? What they could do better: Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 6 The registered manager should continue to review the policies and procedures to ensure that they are accurate and current, and provide relevant contact details. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed prior to admission to ensure that the home can provide for their care needs and capabilities. The home does not provide intermediate care, though respite care is offered. EVIDENCE: The registered provider visits people prior to their admission and undertakes a care needs assessment. The home uses a comprehensive document to gain information about a prospective resident prior to admission. There have been very few admissions since the last inspection, apart from regular respite. There were 13 people living at the home at the time of the inspection. The home does not provide intermediate care. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The delivery of care to promote the health and well being of residents is handled well, as demonstrated by the comments of the residents, and the care plans and daily records substantiate this. Residents were unanimous in saying that staff were kind, respectful and attentive. The home manages medicines safely. EVIDENCE: The services of professionals ancillary to medicine are used when necessary, especially the community nursing service. Residents were complimentary about the home and the staff. The outcome for residents is a high standard of personalised care provided, and the home’s care records have improved greatly to reflect this. Care plans were clear and provided instruction to care staff as to the interventions needed to meet an individuals’ care needs. Care plans are Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 10 reviewed, with the involvement of the resident or their representative, where possible. There is a medicines policy and procedure, which needs minor amendment to include the procedure for disposal of medicines. Medicine Administration Records were seen to be in order, and properly completed. The registered provider has purchased a new medicine trolley since the last inspection. All the residents spoken with confirmed that the staff and managers were respectful and only too happy to help if they could. Residents confirmed that people always knock before entering rooms, and all said that they would feel able to express any concerns to the ‘management’. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All of the residents were complimentary about the lifestyle experience of living at the home, and confirmed some of the activities available. Residents said that they are free to maintain contact with friends and family. All the residents said that they would feel able to express a wish for choice or a concern to the staff. Meals are plentiful and varied, providing a balanced diet, and choice is encouraged. EVIDENCE: The residents spoken with were able to express their wishes clearly and were heard to do so. The majority of residents choose to come to the lounges and, with the additional stimulus of visitors, there are opportunities for people to talk. Residents said they were happy with the flexibility of the home’s routines. Large print books are available for people who wish to read. Television is available in parts of the lounge but is not overpowering for those who do not wish to watch it. People have televisions in their own rooms if they wish to watch particular programmes. Some residents have their own telephones. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 12 There is an entertainments programme, and there is a photographic record of some of the main seasonal events, such as at Christmas and Easter. Residents were happy with their lifestyle, and confirmed the availability of some of the activities shown on the activity plan. The daily records vary in how well they demonstrate how residents spent their day, entries tending towards describing where they were rather than what they were doing. Care documentation and the comments of residents show that there are regular and frequent visitors to the home. Residents said that there was never a problem with visiting. Some residents go out regularly with family and friends, or on their own and this is clearly recorded. All of the residents spoken with said that they were largely able to determine their own lifestyle, within the parameters of their care needs and capabilities. Residents are encouraged to remain independent for as long as possible and choice is respected, but the home will advise on how help can be obtained if someone has a problem. Residents said that food was good and plentiful. There is 4-week menu with alternatives, which residents are given in advance. Residents can choose in advance or on the day. There is a record of the choices made. Residents confirmed that they were able to choose. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents said that they would feel able to express any concerns without recrimination. The Commission for Social Care Inspection is aware of one complaint about this home since the last inspection. The home has a satisfactory complaints system, which residents feel protected by, and feel that their views would be listened to. Residents are protected. EVIDENCE: The home has a complaints procedure and a Protection Of Vulnerable Adults procedure. The complaints procedure does include the contact details for the Commission for Social Care Inspection, and the registered provider agreed to add the contact details of the local Adult Social Care office. The complaints procedure is provided to all residents. Residents said that they would feel able to express any dissatisfaction or concerns to the staff or management. There is an adult protection (safeguarding) procedure in place, though this should be reviewed to ensure it provides clear direction to staff and relevant contact details. Safeguarding training is provided to staff. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that the home is properly maintained, the facilities provided are clean and hygienic and they can have their own possessions around them. EVIDENCE: There have been no changes to the environment since the last inspection other than: • The main entrance has been relocated, and now provides a table of information and seating • The office has been reorganised The premises are well maintained with an ongoing programme of decoration and refurbishment. People were able to have their own possessions with them Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 15 in their rooms. The majority of people choose to sit in the sitting rooms during the day and almost all eat together in the dining room. Bathrooms and toilets were maintained in a clean and satisfactory manner. Toilet and bath equipment to aid independence was seen as well as individual walking frames etc. The home has adequate toilet facilities with some being positioned close to the communal areas. The home has two assisted baths and a shower facility. The home provides access to the two upper floors by means of two stair lifts. Handrails and grab handles are provided at strategic points. The gardens are an attractive feature and reportedly well used in the hot weather. The laundry is suited to its purpose, and the home has maintenance agreements for the equipment. The kitchen is spacious, well organised, and clean. The premises were clean and free from undue odours. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were complimentary about the high standard of care provided at the home. Staff receive training to enable them to provide appropriate care. The home has not recruited any new staff since the last inspection, but is aware of the need to adhere to a robust recruitment procedure. There are sufficient numbers of staff. EVIDENCE: At the time of the inspection there were 13 residents at the home with the registered provider, 2 care staff, a cook, maintenance man, and a cleaner on duty. The duty rota includes staff surnames and does now distinguish between roles or duties (i.e. care duties, cleaning duties, kitchen duties). There are sufficient numbers of staff for the current care needs of the residents. Twelve out of nineteen care staff have achieved NVQ Level 2 or above, approximately 63 . There is ongoing training provided for staff, including 1st Aid, manual handling, basic food hygiene, and ‘POVA’ training. There is now a system in place for monitoring staff training, e.g. when a refresher might be due. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 17 Staff were observed to interact with residents in a friendly, relaxed manner. Residents said that the staff and the care provided were excellent, and without exception all said they would rather be there (Wentworth) than anywhere else. There has not been any new staff employed since the last inspection, though the registered provider is fully aware of the need to adhere to a robust employment procedure in order to protect residents. The inspector saw examples of National Training Organisation compliant induction training records, which three staff have completed. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is no doubt about the quality of care provided at this home, and it is clear that the registered provider puts the needs of the residents first. There has been no change in the managerial arrangements since the previous two inspections. EVIDENCE: Wentworth is a family owned and run business. Records and comments made to the inspector indicated that residents felt able to discuss any areas of concern with the managerial team. The son of one of the registered providers, not currently on the registration certificate, has completed his registered manager’s award. The inspector was advised by the registered provider that an application for registered manager will be submitted to the Commission for Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 19 Social Care Inspection in the next few weeks. The registered provider and her son take day-to-day control of the home. The registered providers focus on resident care to their credit, but have also made significant improvements to the management systems of the home since the last inspection. The office and paperwork is now organised and easy to locate, and the home’s policies and procedures are under review. The registered provider has met all of the requirements identified at the last inspection. Staff sign to indicate that they have read individual documents. Quality assurance was not discussed at this inspection, though his will be followed up at the next inspection. The registered provider has daily contact with residents. The home does not handle any benefits for residents. Families or another responsible person are asked to undertake this instead. Any costs incurred on behalf of a resident are invoiced retrospectively to the resident or their representative. Receipts are obtained and a copy included when invoicing. There is an ongoing maintenance programme, and the premises show that the home is financially viable. Maintenance and safety records are in place. Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP16 Good Practice Recommendations The registered providers should review and amend the complaints procedure to: • State that complainants are free to approach the Adult Social Care department or the Commission for Social Care Inspection at any time. • Provide the contact details of the local Adult Social Care office. The registered providers should review the safeguarding procedure to ensure it provides clear, plain English, instruction to staff. 2. OP18 Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wentworth DS0000008923.V368173.R01.S.doc Version 5.2 Page 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. 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