CARE HOMES FOR OLDER PEOPLE
Wharfedale Rest Home 14-18 Beach Road Cleveleys Lancashire FY5 1EQ Lead Inspector
Ms Jenny Hughes Unannounced Inspection 6th December 2005 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 Wharfedale Rest Home DS0000009683.V270511.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. Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Wharfedale Rest Home Address 14-18 Beach Road Cleveleys Lancashire FY5 1EQ 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) 01253 852414 01253 829140 Finest Services Limited Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4th July 2005 Date of last inspection Brief Description of the Service: Wharfedale has been adapted from three adjoining two-storey residential properties, into a care home which suits the needs of older people. It is close to the centre of Cleveleys, with easy access to transport links. It is equipped to suit the needs of its residents, for example there is a stair lift, grab rails and ramps.Single and double rooms are sited on both floors, with toilets and bathrooms being conveniently situated. There is sufficient communal space, with two lounges and a dining room. A small smoking area is provided. Outside seating is available in the pleasant front garden. Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours, and was one of the two inspections, which must be made each year. Additional inspections may be made if necessary. The inspection was unannounced, in that the owners were not aware that the inspection was to take place. The senior carer in charge was interviewed, in the manager’s absence. Also two care staff and five of the residents. Care records were inspected, and a tour of the home was made, viewing all of the rooms. What the service does well: What has improved since the last inspection? What they could do better:
The home’s environment required updating and refurbishment, and some structural problems were found. However these are being fully addressed. A plan of regular maintenance and renewal then needs to be in place following the refurbishment. Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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. Wharfedale Rest Home DS0000009683.V270511.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 Wharfedale Rest Home DS0000009683.V270511.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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Wharfedale Rest Home DS0000009683.V270511.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 The medication at this home is well managed, promoting good health. EVIDENCE: Medication records were available for all residents, and were seen to be clear and up to date, with photographs of residents identifying these records further. All staff are attending, or have completed, the medication awareness course, and those spoken to were able to discuss the correct way to administer and record medication. Patient information leaflets are kept for staff information on each individual’s medication. It was evidenced with signatures that new medication arriving at the home is always checked on receipt, and any which needed returning to the pharmacist were listed and signed for. Medicines are stored in a secure, dedicated cupboard. Residents are required to sign a ‘declaration of wishes’, which outlines the involvement staff have in handling resident’s medication.
Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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): 19 and 26 Recent investment is in the process of improving the appearance of this home, creating a more comfortable and safe environment for those living there and visiting. EVIDENCE: The small front garden of the home is kept tidy and attractive, with small flowerbeds and seating for residents to use in the good weather. There is a major refurbishment programme ongoing at the moment, with a structural survey identifying the need for new floors, and some new roofing. The management team confirmed the plan to decorate all of the bedrooms, replacing carpets, bedding and furnishings where necessary. Three of the eleven bedrooms had been completed at the visit. The dining room was not in use due to the work being done on it, and following some concerns raised about residents eating meals in different rooms, and not at tables in some
Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 Page 13 instances, a temporary dining room has been set up in one of the three lounges. The disruption has also led to frequent lunch trips out for all of the residents. “I’m happy eating in here watching the television”, said one resident in the lounge, “I’ll be sorry to have to go back to the dining room!” “We’ve been going out a lot for lunch. We’re getting a bit fed up of it now though”, agreed a couple of residents. All of the bedrooms were viewed, and those not yet decorated had tired, and some damaged, wallpaper, fragile furniture and worn carpets. Some signs of damp were seen on outside walls, and a couple of windows would not close properly. The rooms that had been decorated were bright and clean and welcoming. The residents’ said that they had helped to choose their colour scheme. “I like my room. I think it’s homely and comfortable”, said one resident who chose to stay in her newly decorated room to write Christmas cards. Lounges were warm and comfortable, but in need of refreshing and updating. During the refurbishment, the home cannot meet the living standard required as a whole, even though the manager is trying to keep the disruption to the residents as minimal as possible. At the next inspection this standard will be assessed again, following the completion of the work. The laundry is situated away from food storage and preparation. Staff spoken to were aware of the correct way to work to prevent and control infection. The home was generally clean, with care staff covering domestic and cook duties also. These staffing levels may need to be addressed when the home is fully occupied. Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 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. 1 Standard OP19 Regulation 23 Requirement The premises must be kept in a good state of repair externally and internally. All parts of the home must be kept clean and reasonably decorated. Timescale for action 30/06/06 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 Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Wharfedale Rest Home DS0000009683.V270511.R01.S.doc Version 5.0 Page 19 - 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!
