Inspection on 16/12/05 for Great Wheatley

This inspection was carried out on 16th December 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

Great Wheatley 25/09/07

Great Wheatley 19/02/07

Great Wheatley 10/08/06

Great Wheatley 19/05/05

Great Wheatley 09/12/04

Great Wheatley 15/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Great Wheatley 3a Great Wheatley Road Rayleigh Essex SS6 7AL Lead Inspector Valerie Buckle Unannounced Inspection 16th December 2005 11:00 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 Great Wheatley DS0000048207.V269096.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. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Great Wheatley Address 3a Great Wheatley Road Rayleigh Essex SS6 7AL 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) 01268 777281 Mr Raju Ramasamy Mr Inayet Mohmed Patel Mrs Lai-Wah Collin Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21) of places Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Personal or nursing care to be provided to no more than 21 people. Over the age of 65 years (OP). Personal or nursing care to be provided to no more than 21 people. Over the age of 65 years with dementia (DE). Number of service users to whom personal and nursing care is to be provided shall not exceed (21) twenty-one. The kitchen must be refurbished as highlighted in the home’s recent EHO visit on the 10th April 2003. This to be undertaken within six months from the date of registration. The steep slope on the patio and steps to the rear of the property present a safety hazard. A gate with access is to be fitted across both the slope area and the steps. This to be undertaken within three months from the date of registration. The front gate and the signage for the home at the entrance to the driveway require replacement. This to be undertaken within one month from the date of registration. Storage facilities for equipment must be made available. This to be undertaken within three months from the date of registration. Pipe work, which is presently temporarily lagged, must be priority risk assessed and boxed in. This to be undertaken within one month from the date of registration. Individual lockable facilities within a risk-assessed strategy should be made available for service users to use in their rooms. This to be undertaken within two months from the date of registration. A plan of renewal and routine maintenance for the home should be collated and forwarded to the National Care Standards Commission. This to be undertaken within two months from the date of registration. 19th May 2005 6. 7. 8. 9. 10. Date of last inspection Brief Description of the Service: Great Wheatley is a care home, which provides services for older people in need of nursing care. Whilst most residents have long term care requirements, the home also offers short-term respite care provision when needed. The home is situated in a quiet residential area of Rayleigh, close to all amenities and within a quarter of a mile from the A127/London/Southend main road. The home has nine single rooms and six double bedrooms, five of which have en-suite facilities. Assisted bathrooms and toilets are provided on both floors and there is a lift. There are four communal areas for residents and a Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 5 small terraced garden, which is accessible to the residents and has seating. Care parking for up to four cars is provided to the front of the property. Trained nurses and carers make up the staff team. Qualifications and training provision are set out in the homes Statement of Purpose. Other services, which included hairdressing, chiropody and aromatherapy, are available at an additional charge. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection and took place over two hours and thirty minutes. The inspection included a tour of the premises and an inspection of a sample of policies, procedures and records. Discussions took place with the Registered Manager, four staff, three residents and one relative. All the requirements and good practice recommendations from the last inspection had meet met. What the service does well: 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. Great Wheatley DS0000048207.V269096.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 Great Wheatley DS0000048207.V269096.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): 2, 4 Appropriate information is given to prospective residents and their families, which enables them to make an informed choice about living in the home. The pre-admissions assessment ensures that the home can meet prospective residents needs. EVIDENCE: The home has a comprehensive statement of purpose and service users guide. Each resident has a contract with the home which includes the terms and conditions of residence. The manager said that families and new residents wherever possible visit the home before deciding on a placement. Great Wheatley DS0000048207.V269096.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): 7, 9, 11 Residents’ health and personal care needs are appropriately met and set out in their individual care plans. EVIDENCE: Individual care plans had been reviewed and were seen to cover all areas of residents needs. Information was clear and easily accessible to all staff. Medication records seen were appropriately recorded, medication was stored safely. Lockable cabinets are provided for residents who are able and wish to self medicate, but currently none of the residents living at the home are able to. Great Wheatley DS0000048207.V269096.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): 12, 15 The home provides activities and opportunities daily which meet the needs and choices of the residents living at the home. The food provided was of a good standard. EVIDENCE: Since the last inspection, an activities book has been implemented, records of activities are kept, residents are asked what activities they would like to be involved in daily. Activities include chair exercises, crossword puzzles, brainteasers, short walks or listening to music. There is a choice and some residents prefer to watch TV, read the paper or just relax. The home employs two full time cooks at the home who work until 5.00pm every day. The cook asks residents daily what foods they would like to eat. Records of residents likes and dislikes and their daily intake of foods are kept. Residents spoken to said that they were very happy with the variety of foods provided. The meal for the day was fish and chips or casserole, some residents ate their meals in the dining rooms, which were very pleasant, and staff supported residents who needed assistance. Some less able residents ate their meals in the lounge or their own rooms. Plans to refurbish the kitchen and laundry have been agreed and the manager said work in this area will take place shortly. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: These standards were not inspected at this inspection. All these standards were fully met at the last inspection. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 12 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): 20, 22, 24 The home is well maintained and furnished and provides a homely caring environment for the residents which meets their individual needs. Planned improvements are in place; specialist equipment is available to ensure that residents are able to maintain their independence. EVIDENCE: Great Wheatley is situated in a quiet residential area close to bus routes and Rayleigh shopping centre. The home is decorated, maintained and comfortably furnished in a homely style. It was seen to be tidy clean and safe, residents rooms were personalised to individual taste and contained their personal belongings and items of furniture. Planned improvements to the home include refurbishment of the kitchen and laundry and the replacement of the call bell system. There were sufficient bathrooms and toilets to meet resident’s needs. Each bathroom is fitted with a hoist, grab rails and situated in the toilets, and there is a lift to the first floor. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 13 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, 30 Staff at the home are well trained and experienced to meet the needs of residents and provide a high standard of care. They are employed in sufficient numbers to cover the rota at all times. EVIDENCE: At the time of the inspection there were sufficient staff on duty to meet the needs of the residents, the rota showed that there is a mix of staff skills on duty at all times. Since the last inspection more staff have been appointed to the home and the rotas evidenced at least one nurse and five carers on each shift throughout the day. Three staff spoken to comment that they were very satisfied with the support they receive from the manager and other members of the staff team. No agency staff are used at the home and it was evident that the staff were committed to providing a high standard of care. Staff were observed talking to residents and visitors at the home in a friendly, relaxed way, the atmosphere was very homely. There was evidence that staff training takes place regularly, courses attended by staff included training in dementia, mandatory training, risk assessments, death, dying and bereavement, palative care training, wound dressing and P.O.V.A. Further courses were seen to be planned for January 2006. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 14 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, 34, 36, 37 Comments made from staff, a visiting relative and residents confirmed that the home is being managed effectively and that the registered manager and the proprietor are very supportive to the staff to ensure the home is run in the best interests of the residents. EVIDENCE: The newly registered manager who has been acting manager since March 2005 is qualified and experienced and very knowledgeable of residents needs. The manager expressed that she is very keen to undertake the Registered Managers Award. Staff residents and a visitor spoken to said they felt confident with the manager and said she is very supportive and approachable. Staff supervision takes place regularly and the supervision format has been revised to include staff comments, records are kept and were seen to be up to date. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 15 Records are kept of resident’s monies; these were recorded appropriately and kept safe. A sample of policies, procedures and records seen were recorded appropriately and contained all the required information. Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 16 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 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X 3 X 3 X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 X 3 3 X Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 17 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. 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. Refer to Standard Good Practice Recommendations Great Wheatley DS0000048207.V269096.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. 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