Inspection on 22/03/06 for Inglewood (Wigton)

This inspection was carried out on 22nd March 2006.

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

Inglewood (Wigton) 11/03/08

Inglewood (Wigton) 31/08/06

Inglewood (Wigton) 04/10/05

Inglewood (Wigton) 14/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Inglewood (Wigton) Lowmoor Road Wigton Cumbria CA7 9QL Lead Inspector Margaret Drury Unannounced Inspection 22nd March 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 Inglewood (Wigton) DS0000035221.V284276.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. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Inglewood (Wigton) Address Lowmoor Road Wigton Cumbria CA7 9QL 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) 016973 66158 016973 66159 www.cumbriacare.org.uk Cumbria Care Mr David Edkins Care Home 40 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (40) of places Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of forty older people (OP40) may be accommodated of whom nine may have dementia (DE(E)9). The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. 4th October 2005 Date of last inspection Brief Description of the Service: Inglewood is a care home providing accommodation and care for up to 40 older people, 9 of whom have dementia. The home is operated by Cumbria Care, an internal business unit of Cumbria County council, and is situated close to the centre of Wigton. The home is divided into four living areas or units, each having a lounge/dining room with small kitchen area. There are bedrooms, toilets and bathrooms nearby. There are also other lounges and sitting areas that can be used by service users who want a quiet area, and a lounge that is used by those who wish to smoke. There is a large room used to provide day care for older people from the local community. This room can also be used by service users during the evening and weekends for special events. There is a passenger lift, handrails, grab rails and assisted bathrooms and toilets to help people in their day-to-day lives. There are pleasant garden areas including a central courtyard and a secure garden area accessed from the unit that accommodates people with dementia. There is a small car park to the front of the home. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home that took place over the morning of the 22 March 2006. It was the second inspection of the annual cycle and the standards not assessed on this occasion were inspected and met during the previous visit that took place in October 2005. During the inspection, time was spent speaking with the supervisor on duty, staff and residents. Documentation relating to care of the residents was examined and some parts of the home were looked at. What the service does well: What has improved since the last inspection? A small amount of internal decoration has been completed but other than this there have been no major changes. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 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. Inglewood (Wigton) DS0000035221.V284276.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 Inglewood (Wigton) DS0000035221.V284276.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): 1, 2, 4 & 5 The Statement of Purpose is informative and provides prospective service users and their families with information about the home. The admission procedure to the home is satisfactory and ensures service users needs can be met. EVIDENCE: The Statement of Purpose was available in the home for prospective residents and/or their families to read. It contained important information about how the home operated, as well as the services and facilities provided. All residents have a contract with the Social Services Department. Prospective residents and their families are invited and encouraged to visit Inglewood prior to admission. This gives opportunity to meet the manager, staff and the other people living in the home, to view the facilities on offer and to ensure all assessed needs can be met. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 9 Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 10 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): All these standards were assessed and met during the last inspection EVIDENCE: Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 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 & 15 Mealtimes and social activities are both well managed and help to create a varied and positive day for those living in the home. EVIDENCE: There is an activities organiser who works with the residents on various projects, all of which are recorded in the activities file. The inspector was able to observe her working with a small group of residents talking about cooking and baking both of which they enjoyed whilst living in their own homes. Outings and larger group activities are also organised. Some residents are able to attend the Church next door to the home and visiting clergy give communion to those wishing to receive it. Discussions with the cook on duty and inspection of the menus evidenced that a variety of nutritious meals are provided with a choice at each mealtime. All the residents who spoke with the inspector said they enjoyed their food and that there was always plenty. Inglewood (Wigton) DS0000035221.V284276.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): 17 & 18 Service users benefit from the availability of an advocacy service should this ever be required. Staff have a knowledge of abuse issues, which protects those living in the home. EVIDENCE: An advocacy service would be provided for any resident who has no family or friends to assist them in managing their affairs. Currently, all those living in the home have family members who are available to assist them with personal and financial matters. All residents are given the opportunity to take part in the election process if they wish. The home uses the corporate adult protection policy that includes whistle blowing. This subject is covered in NVQ training and the staff induction programme. There is a copy of Cumbria’s policy for Protection of Vulnerable Adults in the home that is made available for staff to read or consult if they wish. Inglewood (Wigton) DS0000035221.V284276.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): 20, 21, 22, 23, 24 & 25 The home offers comfortable and safe accommodation and most areas are well maintained. This contributes to a good quality of life for the residents EVIDENCE: Inglewood is divided into four units each with its own dining and lounge areas. There are other sitting areas around the home that allow residents to see their visitors in private if they wish. There is also a designated smoking lounge for those wishing to use it. There are seven bedrooms with en-suite toilet facilities and communal toilets throughout for the residents to use. There is a total of five bathrooms and a shower room, all of which are suitable to meet the assessed needs. The home provides hoists and other specialist equipment in order that the independence of the residents can be maintained as long as possible. All the bathing and toilet facilities are suitable for those who may have a physical disability and there are handrails on the corridors to assist with movement around the home. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 14 All the rooms are for single occupation and although some are a little on the small side they do suit residents’ needs. All those inspected were nicely decorated, clean and, on the whole, bright. Residents have “ made them their own” with small items of furniture, pictures and ornaments. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 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): 28, 29 & 30 Staff have completed the required training and provide a skilled and experienced workforce. EVIDENCE: Cumbria Care has a full recruitment and selection process that is used throughout the organisation. This ensures that no member of staff starts work until all the required checks are completed. The inspector was able to examine a sample of personnel files and found them to be up to date and in order. An ongoing staff training programme is in place covering all the statutory training required, plus other subjects such as medication, infection control and emergency planning. Almost half of the staff is already qualified to NVQ level two with one other currently working towards the award. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 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): 32, 33, 34, 35, 36 & 37 Regular monitoring by the registered manager ensures the home is run in the best interests of the residents. Financial procedures are in place to protect the residents from any financial abuse. EVIDENCE: Although the manager was away from the home on the day of the inspection, discussions with the supervisor and staff on duty evidenced that he is highly motivated and that the home is run in the best interests of the residents and their families. Residents who spoke with the inspector were complementary of his caring attitude and said he was approachable and easy to talk to. Management supervision motivates the staff to undertake training, which assists in the improvement of their skills and knowledge. Financial policies and procedures are in place and are suitable to safeguard those living in Inglewood. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 17 The home uses the corporate policies put in place by Cumbria Care and all staff are expected to read them on a regular basis. These are then discussed during staff supervision meetings. Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 x 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 3 18 3 x 3 3 3 3 3 3 X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 3 3 3 x Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 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. 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 Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Inglewood (Wigton) DS0000035221.V284276.R01.S.doc Version 5.1 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. 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!