Inspection on 23/01/06 for Watermoor House

This inspection was carried out on 23rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Watermoor House 28/08/08

Watermoor House 06/06/07

Watermoor House 11/01/05

Watermoor House 12/07/04

Watermoor House 22/01/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Watermoor House Watermoor Road Cirencester Glos GL7 1JR Lead Inspector Mrs Janice Patrick Unannounced Inspection 23rd January 2006 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 Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 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. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Watermoor House Address Watermoor Road Cirencester Glos GL7 1JR 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) 01285 654864 Gloucestershire Old People`s Housing Society Limited Mrs Barbara Diane Talbot Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2005 Brief Description of the Service: Watermoor House is situated close to Cirencester town centre. The home offers accommodation to those who wish to have the burden of domestic concerns lifted or for those who need a degree of help with personal care. Many of the residents living at Watermoor House are able to maintain a fairly independent life, enjoying the Homes social activities or nearby town. Others require more support with daily living and general care. The property is a large, Grade Two listed detached house set back off the road within its own grounds. To the rear of the property is a purpose built extension. There is an enclosed walled garden behind the house with more gardens to the side of the property. The front is landscaped incorporating a large drive way with ample parking to the left. Alongside the property is a public park, which was originally part of the gardens of the main house. The Home has a key to the side gate, allowing residents access to the park if they wish. Inside the house there is a large central hall with a staircase leading up to the first floor. Leading off this hallway is a large airy lounge and a smaller quiet room. The dining room has been extended in order to accommodate a full house at one sitting. Individual bedrooms vary in size and layout; many are large enough to form a bed-sit effect. Those in the new rear extension are not as large. All have ensuite facilities. The Home is on two levels and has stair lifts and a shaft lift to aid access. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector between the hours of 10.00am and 2pm. The Registered Manager and administrator were on duty as well as other staff. Several residents were spoken with and a partial tour of the building carried out. The kitchen was inspected and the cook spoken with. The views of the residents were sought regarding the standard of food and choice available to them. Staff training and recruitment was inspected. Records pertaining to health and safety and service checks were inspected. The Home’s records of accidents and falls were discussed and inspected. The systems in place to help prevent any form of abuse were discussed. Residents’ views were sought on privacy within the Home and their ability to receive visitors. What the service does well: What has improved since the last inspection? What they could do better: Ensure that the Home’s Policy for Adult Protection is linked with the Department of Health’s document ‘No Secrets’ and provide update training/supervision for all staff on this subject. Ensure that new staff receive all mandatory training and that this is recorded within their six-week induction. Staff who miss mandatory trainings for genuine reasons, should be provided with this training earlier than the next years update. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 6 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. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 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 Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 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): None of the standards from this group were inspected on this occasion. N/A EVIDENCE: N/A Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 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): 10 Personal support in this Home is offered in such a way that promotes and protects the residents’ privacy and dignity and independence. EVIDENCE: All residents spoken with confirmed that their right to privacy is always respected. Staff were observed to be speaking to residents in a courteous and polite manner. One resident spoken with explained that she liked her bed sit as she could sit quietly if she wished to and that the staff always knocked on her door before entering. Another resident felt she was spoken to in a more attentive and polite manner compared with her previous care home. Another new resident, felt that she would enjoy some privacy and peace when all the arrangements of moving into the Home settled down. She confirmed that every member of staff so far has been ‘nothing but caring and polite’. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 10 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): 13 & 15 Links with family and the community are actively supported which helps to enrich residents’ social opportunities. The meals in the Home are good and offer both choice and variety and catering for special dietary needs. EVIDENCE: The kitchen was inspected and the second cook spoken with. This member of staff has years of catering experience and has been at the Home since October 2005. The head cook was on holiday, but the cook on duty was able to answer all of the Inspectors questions and had a good grasp of the Home’s procedures. Menus were seen for the day and demonstrated that there was a choice of meat or fish at lunchtime and a choice of sandwiches or a cooked tea. Residents are still free to make individual arrangements early in the day, directly with the kitchen, if they prefer something else to eat on that day. One resident explained that she requires a diabetic diet and that the food offered to her was always appetising. Records were seen of when residents have refused their food or have not eaten much. The cook had a good knowledge of how to increase calories in food if requested by care staff to do so. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 11 The head cook had attended a recent training day on a new initiative being launched within Gloucestershire by the Food Safety Department. This is designed to help businesses meet the Food Safety Regulations and the Food Safety Officer will be commencing training on this in February 2006. At the time of this inspection there were no cleaning schedules being completed. There has been in the past and the Manager explained that the head cook had taken this paper work home, in order to prepare for the new documentation of which an example was seen on the kitchen notice board. Several residents confirmed that they stay in touch with family and friends either through visits or regular telephone calls. Residents that are physically able visit Cirencester Town and friends independently. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 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): 18 The culture in the Home is to protect vulnerable residents; however staff require an update on this subject to reinforce the many processes already in place. EVIDENCE: The Home’s policy on Abuse was seen. This sits in isolation and needs to be linked to the Department of Health’s document on abuse called ‘No Secrets’. This references all types of abuse and is a global reference for staff. The Home was unaware of the ‘Alerter’s Guide’ which gives county guidance. The Inspector will arrange for one to be forwarded to the Home. Several staff who are taking the NVQ Award in Care will cover adult protection issues but many have not received any updated training in this for some while. The Inspector will ensure the management are made aware of the new guidelines being bought out in April by the CSCI, Adult Protection Unit and the Police. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 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): None of the standards in this group were inspected on this occasion. N/A EVIDENCE: N/A Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 14 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): 29 & 30 Correct recruitment practice and adequate training in most cases, results in a workforce that are safe and able to meet the needs of the residents. EVIDENCE: The Home has been able to complete successful recruitment of one person since the last inspection. This staff member’s file demonstrated that all criteria within the National Minimum Standards had been met. Criteria not met during the last inspection are now in place, this arose from a problem obtaining references. This new recruits induction records was not in the Home at the time of this inspection and information on this will be forwarded to the Inspector. The staff member herself confirmed she had completed moving and handling training, had been shown what to do in the event of a fire and had other relevant trainings that were about to be updated. Another member of staff, employed at the Home for over a year had missed, for genuine reasons manual handling training. A training matrix has been developed and demonstrates who has received what training and what is being planned for the near future. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 15 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, 33 & 38 The Manager has a good understanding of areas in which the Home needs to improve and systems are in place to review and develop these. Arrangements are in place to ensure that the Home is a safe place for residents to live in. EVIDENCE: The Registered Manager has managed this Home for eight years and worked in the Home for over twenty years. She is registered with the Commission for Social Care Inspection (CSCI) and holds the required Registered Manager’s Award and NVQ Level 4 in Care. The Administrator, who deals with all things not care related, gives a lot of support thus allowing her to be very involved in the care practices within the Home. There are also two Deputy Managers, one of which leads the daily care. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 16 Various senior care staff all have different responsibilities and all staff are ‘key workers’ to a group of residents. Residents spoke of feeling reassured by the Manager’s ability and find her very approachable. The management regularly reflect on the care and services being offered and a recent example of this was discussed, including the steps that were taken to maintain good care practice. Residents are encouraged to be vocal and clearly feel secure enough to raise any issues. The last residents meeting was in December 2005 with one due soon. Also due in March of this year is the annual questionnaire that asks for residents/relatives and other visitors’ views on the care and services provided. The Manager explained that it can be difficult to get these returned and to collate the information. The Trustees also carry out monthly visits to the Home, finding out the views of residents and reporting on the running of the Home to the CSCI. All maintenance and service records were seen at this inspection and all were in date, except for servicing and monitoring of the water systems for Legionella. These had not been carried out since October 2005. The administrator was renegotiating the contract for this as the Inspector arrived. Records of accidents were also inspected. The Inspector recommended a new format for recording accidents that meets Data Protection Guidelines. This was to be ordered following the inspection. All boilers and cookers are due a planned service on 1st February 06. The Fire Officer had carried out a recent inspection and was satisfied with the Home. A recently updated fire risk assessment was seen dated 17/01/06. The management had reviewed the practice of some residents of door wedging. Two residents identified sometimes either forget they should not do this or get nervous, like to wedge their door open. Special door opener/closures have been ordered for these doors. Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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 OP18 Regulation 13(6) Requirement The Registered Manager must through training of staff and other means ensure that residents are protected from harm or abuse. The Registered Manager must ensure that all mandatory trainings are completed by the member of staff as part of structured induction training. Timescale for action 31/03/06 2 OP30 18(1)(c) (i) 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Watermoor House DS0000016644.V278243.R01.S.doc Version 5.1 Page 20 - 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!