Inspection on 19/10/05 for Warstones Resource Centre

This inspection was carried out on 19th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Warstones Resource Centre 25/09/07

Warstones Resource Centre 29/06/06

Warstones Resource Centre 04/07/05

Warstones Resource Centre 06/12/04

Warstones Resource Centre 13/07/04

Warstones Resource Centre 30/06/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Warstones Resource Centre Warstones Resource Centre Warstones Drive Penn Wolverhampton West Midlands WV4 4PQ Lead Inspector Mr Ian Harris Announced Inspection 19th October 2005 08:30 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 Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 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. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Warstones Resource Centre Address Warstones Resource Centre Warstones Drive Penn Wolverhampton West Midlands WV4 4PQ 01902-553419 01902 553424 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) Wolverhampton City Council Diane Vukmirovic Care Home 26 Category(ies) of Dementia (7), Old age, not falling within any registration, with number other category (19) of places Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age 50 and above Date of last inspection 4th July 2005 Brief Description of the Service: Warstones Resource Centre provides a range of services, which aim to promote the independence and well being of older people. The home serves those people living in the south west of Wolverhampton. It is managed by the city councils Social Services Department and provides the following services. Rehabilitation for older people, Respite services for physically frail older people, Day care services and Home support services (north west and south west) In addition an advice and information for centre users, carers and members of the local community also operates from the premises. There are car-parking facilities to the front of the property and an enclosed garden area at the rear. Warstones shopping centre is approximately 500 yards from the home and there is a bus service to and from the City, which stops directly outside. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 4 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. This home has a history of meeting and national minimum standards and providing a good service for people; consequently on this occasion only those standards identified as “key” by CSCI have been inspected. The fullest co-operation was given to the inspection officer by the Care Manager staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 8 of the 41 care staff were on duty, and 10 of the 26 residents were spoken to. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable and safe with contented residents. What the service does well: Warstones house continues to provide a high standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to regain and maintain their independence through individual care planning and social activities. The provision of an Occupational Therapist on site is a great asset to the home, as is the provision of a day centre with its wide range of activities. The residents key-worker system is working well and ensures, that residents’ wishes are being met. Observations during the inspection saw very attentive staff providing for the individual needs of the residents. A number of residents confirmed that the Staff are very supportive and are very pleased with the progress they are making. The home has a good staff- training programme, which all staff are involved in, this ensures that they are improving their knowledge and skills to meet the changing needs of the residents. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: 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. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 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 Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, and 4 The home provides clear and accurate information to prospective residents on the services provided, enabling them to make a properly informed choice about the home. All residents are given a written contract on admission to the home. EVIDENCE: The home provides clear and accurate information to prospective residents on the services provided, in the form of a brochure and a service users guide enabling them to make a properly informed choice about the home. Each resident is provided with a detailed service users guide and statement of terms and conditions when they move into the home. This statement contains the required information. The statement is clear on what the fees do and do not cover. There was evidence on resident’s individual files to show that all the residents are provided with a statement of terms and conditions of residence at the time of admission. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9, 10, and 11 The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are met. Staff are sensitive to the individual needs of each service user and meet these in a professional manner EVIDENCE: Medication is administered, by means of a monitored dosage system in two of the units. The residents in the rehab unit are encouraged as part of their care plan to self medicate under supervision. The system appears to be working very well. The home receives good support from the local pharmacist who does a three monthly audit of the homes medication. All Senior Staff have been trained to use the system before they are allowed to administer medication. The home has very good draft policies and procedures, which are used as guidance and are an integral part of the care staff induction programme. All residents have single rooms. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Consultation with health care and social Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 10 care professionals is carried out within the resident’s bedrooms. Residents and visitors spoken with were keen to inform the inspector that the staff are very supportive and always willing help them with their care needs. As the home only offer short term placements they would normally only deal with sudden un-expected death. The home has clear policies with regard to dying and death and staff have received bereavement training. The Care Manager and Care Staff are conscious of the need to provide extra support to the residents in their final days at the home. All the Staff are very aware of the need to be particularly sensitive, caring and attentive to the residents needs prior to their death. The care manager is also aware of the support the staff should provide to relatives and colleagues. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Staff work in close liaison with residents and their relatives to understand their individual lifestyles and preferences in order that these can be continued when they move the home. Individuals are enabled to exercise choice and control over their lives wherever possible balancing the rights and risks with each individual The meals in the home are good homely type offering both choice and variety and also catering for special dietary needs. EVIDENCE: The residents and staff stated that the residents are consulted regarding the day-to-day running of the home through residents meetings, reviews and by feedback from their care worker. The care-workers also identify interests that the residents wish to pursue The observations made, examination of menus and the comments received from the residents and their relatives confirmed that particular attention is given to the residents’ individual preferences. All of the comments made by residents regarding the quality, quantity and variety of food provided are complimentary Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 The home has a good complaints procedure with some evidence that residents’ views are listened to and acted upon. The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence and a notice on the notice board in the hall. The home has a complaints book in which all complaints are recorded. It was noted that the home has received one formal complaints since the last inspection this and all minor complaints have been dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in an in house training programme and the N.V.Q. training, which the Staff is undergoing. There have been no incidents that have needed to be recorded or reported. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The standard of the environment within the home and the garden is acceptable providing the residents with a attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. EVIDENCE: The home has been established for many years and has undergone alterations in order to provide appropriate accommodation for older people. The home is maintained to an acceptable level, as are the gardens and grounds and provides a very comfortable homely and safe atmosphere. However it was noted that there is a number of areas, the main stairway, the rehab lounge that are looking worn and should be programmed for redecoration. The rotting woodwork on the exterior of the laundry has not been replaced. The home was found to be clean and tidy and free from odour. The home has good policies and procedures regarding infection control and the staff have received training in food hygiene and Infection Control. All staff appeared to Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 14 be conscious of the dangers of cross infection and were seen to use protective gloves an aprons. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30. The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the residents’ support needs. The home has good policies and procedures regarding the recruitment of staff which, include all the appropriate staff checks and references. There is a very good training programme in place that ensures that the staff are competent to do their job. EVIDENCE: The inspection of staff rotas and discussions with residents indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates an efficient procedure and has registered with the Criminal Records Bureau in order to complete the appropriate checks on staff. There was evidence within the home that all the checks are being carried out. All staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a very good programme of N.V.Q. training has now exceeded the minimum standard all care staff has completed or is undergoing N.V.Q. level 2 in Care. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Dementia care, and Moving and lifting, First Aid, Infection Control and Fire Prevention. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, and 34 The manager has very good leadership skills and has a clear development plan and vision for the home, which he has effectively communicated to the residents’, staff and relatives. EVIDENCE: The Care Manager is qualified in both practice and management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and is very supportive of both staff and residents. Observations made and discussions with residents and staff indcated that the Care Manager is very approachable and operates an open door policy. The staff and residents who could express themselves stated that they are happy to approach the Care Manager with any problems they might have. The staff only handle small sums of personal allowance for the residents’ that is left for safe keeping by relatives. All the records and administrative Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 17 procedures within the home that were, inspected were found to be well ordered and maintained. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 18 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 3 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X X X X Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 19 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. 1. Standard OP19 Regulation 23 (2) (b) Requirement The registered person ensures that rotting woodwork on the exterior of the laundry is replaced. (Timescale of the 28/02/05 not met) Timescale for action 01/10/05 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 OP19 Good Practice Recommendations The stairway and rehab lounge should be programmed for redecoration. Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE National Enquiry Line: 0845 015 0120 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 Warstones Resource Centre DS0000035792.V259594.R01.S.doc Version 5.0 Page 21 - 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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