Inspection on 30/05/06 for Waterside House

This inspection was carried out on 30th May 2006.

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

Waterside House 06/02/08

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

CARE HOMES FOR OLDER PEOPLE Waterside House Moathouse Lane West Wednesfield Wolverhampton WV11 3HA Lead Inspector Mr Ian Harris Key Unannounced Inspection 30th May 2006 08:00 30/05/06 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 Waterside House DS0000065543.V296409.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. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Waterside House Address Moathouse Lane West Wednesfield Wolverhampton WV11 3HA 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) 01902 738 124 home.fxg@mha.org.uk Methodist Homes for the Aged Sue Bishop Care Home 60 Category(ies) of Dementia (60) registration, with number of places Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must not fall below the following staffing levels: 1 full time Manager 37.5 hrs per week off rota. Early shifts (08.00 - 15.00) 2 x assistant managers/seniro care assistants 10 x care assistants Late shifts (15.00 - 22.00) 2 x assistant managers/senior care assistants 10 x care assistants 1 x shift per week Assistant Home Manager Assistant home manager Night shift (22.00 - 08.00) 4 x night care assistants 1 x senior/manager on call The home is registered to provide care for up to 60 service users with dementia. Up to 5 (five) service users aged 55 years plus, other service users must be over 60 years. 2. 3. Date of last inspection Brief Description of the Service: Waterside is a new purpose built Residential Care Home for sixty older people with Dementia. The building is on two floors, which is serviced by a lift. All the bedrooms have en-suite facilities. The home is designed into four units each with its own lounge/ dining area. In addition to this each unit has it’s own quiet lounge. The home has extensive grounds which includes an enclosed landscaped garden. The home is situated in a quiet residential area approximately one mile from Wednesfield shopping centre. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5. hours. 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. 4 members of staff 8 residents were spoken to. It was noted that the range of fees range from £452- £508. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. All the residents spoken who could express themselves in a meaning full way expressed their satisfaction with the care they received and there were comments as follows “ the food is good here” “The staff are very helpful “ I’m very settled and I like my room this is a very nice home.” “It done me the world of good being here” What the service does well: What has improved since the last inspection? This was the first inspection made to a new purpose built home. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 6 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. Waterside House DS0000065543.V296409.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 Waterside House DS0000065543.V296409.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 There is a very good assessments procedure of need in place and there is evidence that they are being followed. The home does not provide intermediate care but offer a very good respite service. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: There is evidence on the files that all the residents who are funded by the Local Authority undergo a full multi-disciplinary assessment prior to admission. The residents, who are self funding are assessed by the Care Manager, using the homes assessment forms. The home does not provide intermediate care but offer a very good respite service. Waterside House DS0000065543.V296409.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,and 10 Each resident has a very good comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are well met. 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 well met. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a monthly basis. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 10 The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by local practitioners. The records indicate that resident’s medical needs are being met. Medication is administered by means of a Boots monitored dosage system. The system appears to be working very well. After some initial teething problems the home is receiving good support from the Boots pharmacist. All care Senior Staff have been trained to use the system and the safe handling of medication before they are allowed to administer medication. The home has very good policies and procedures, which have recently been updated and are used as an integral part of the staff programme. All residents have single rooms with en-suite. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Three of the residents who could express themselves in a meaning full way said that the staff were very good and kind. Consultation with health care and social care professionals is carried out within the resident’s bedrooms. Visitors are able to meet residents in their bedrooms or in one of the lounges. Waterside House DS0000065543.V296409.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15 The home provides a good programme of social activities within and outside of the home, which are designed to meet the resident’s capabilities, which the staff encourage the residents to pursue. The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: Residents and staff confirmed that the residents are consulted regarding the day-to-day running of the home where possible through resident’s reviews and by feedback from their key-workers. The key-workers also try to identify interests that the residents wish to pursue. A regular programme of musical evenings, board- games, Keep Fit, Bingo, Art and Craft sessions and church services, are organised within the home. Also the Care Manager has organised trips to the Black Country Museum and a Canal Barge trip, which are very popular. It would be a great advantage to compile a life story book on each resident in order to meet their likes and dislikes and perhaps pick up past interests and hobbies. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 12 The observations made and the comments received from the residents and their relatives confirmed that particular attention is given to the resident’s individual preferences regard the meals provided. Waterside House DS0000065543.V296409.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home has a very good complaints procedure with some evidence that residents’ and relatives’ views are listened to and acted upon. The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a very good comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide and, which a copy is issued on admission to the home. Also a copy is placed in the reception hall. The home has a complaints file in which all complaints are recorded. It was noted that the home has received two formal complaints since the home opened. Both were concerned with personal care of residents, one complete was up-held the other was not. These and all minor complaints are 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 internal training courses and the N.V.Q. training, which all care Staff is undergoing. Waterside House DS0000065543.V296409.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 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 is excellent providing service users with a safe well-maintained environment to live in. The quality outcome in this area is excellent. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home is a new modern building, which has been purpose built in order to provide appropriate accommodation to meet the needs of the residents. The home is maintained to a very high standard and provides a very comfortable homely and safe environment. The home is furnished to a high standard throughout. All the bedrooms are well furnished and close attention has been paid to detail. The home has extensive gardens and grounds that are a great asset to the home. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 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 resident’s support needs. The home has good policies and procedures regarding the recruitment of staff, which is being followed. There is a excellent training programme in place that ensures staff are competent to do their job. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. 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 recruitment procedure and has registered 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 programme of N.V.Q. training and is working towards the minimum standard. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Dementia Awareness, Moving and Handling, First Aid, Infection Control, food Hygiene and Fire Prevention. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 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 38 The manager has very good leadership skills and has a clear development plan and vision for the home, which she has effectively communicated to the residents, staff and relatives. The home is very well managed, where service users interests and welfare are well promoted and protected. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues. The quality outcome in this area is excellent. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The Care Manager is a highly qualified in both practice and management and has considerable experience in caring for older people, in a residential home setting. There are clear lines of accountability within the home and the manager is well supported by her Line Manager. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 17 Observations made and discussions with residents and staff indcated that the Care Manager is very approachable and operates an open door policy and is proactive in meeting all the residents on a daily basis. The staff and residents who could express themselves stated that they are happy to approach the Care Manager with any problems they might have and are confident that they will be resolved. The routines and activities within the home are flexible and built around the needs of the residents. There was also evidence to show that staff try to consult with the residents regarding the choice of meals and activities within the home. The Key-Worker system in operation is designed to ensure residents’ wishes are responded to. All the records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. All safety equipment is check and well maintained. Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 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 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 X X X X X 3 Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 Page 19 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 OP30 Regulation 18 Requirement The registered person ensures that the home provides 50 N.V.Q. 2 qualified care staff. Timescale for action 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The care manage ensures that the key workers compiles a Life Story Book for each resident Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 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 Waterside House DS0000065543.V296409.R01.S.doc Version 5.2 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. 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