Inspection on 04/10/05 for Inglewood (Wigton)

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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) 22/03/06

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 Elaine Brayton Unannounced Inspection 4th October 2005 11:15 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.V255855.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. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 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 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.V255855.R01.S.doc Version 5.0 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. 8th December 2004 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 unit having a lounge/dining room with small kitchen area and bedrooms, toilets and bathrooms nearby. There are also other lounges, which can be used by service users who want a quiet area, and a lounge that can be used by people who wish to smoke. There is a large room used to provide daycare for older people from the local community, and this room can be used by service users evenings and weekends for special events. There is a passenger lift, handrails, grab rails and assisted bathrooms and toilets to assist 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 which accommodates people with dementia. There is a small car park to the front of the home. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, which took place over one day. During the inspection the Inspector spent time talking with residents in communal areas and in their private rooms. Staff on duty were spoken to including senior staff and the manager. Records relating to the care of residents and the day to day running of the home were looked at. 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. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 6 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.V255855.R01.S.doc Version 5.0 Page 7 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 The assessment procedure is thorough, and ensures the home is able to meet people’s needs before they move into the home. EVIDENCE: A selection of assessments were looked at, and these were very comprehensive and included information about all of the person’s health and social care needs. Information was also taken from health care professionals and social workers when appropriate. This information assisted the senior staff in making a decision about if and how the persons needs could be met in the home. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 8 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, 10 The home had a clear and consistent care planning system, which ensured residents health, and social care needs were met in a way that promoted their privacy and dignity. EVIDENCE: The care plans contained information about residents care needs, including their moving and handling needs; they were regularly reviewed and updated with the resident. The plans provided the care staff with the information they needed to meet resident’s needs. Records were kept about GP appointments and when district nurses visited, but it was noted that the supervisors did not always record the action they had taken, if a member of care staff reported a residents healthcare concern to them. A good practice recommendation has been made about this. People said that an appointment was made for them promptly if they asked to see the doctor or nurse. The arrangements for storing and administering medication in the home were safe and well organised, and residents received their medication as prescribed, with records kept. The care staff spoke to residents in a courteous and polite way, knocked before entering bedrooms, and closed bedroom doors when assisting people with personal care tasks. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 9 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, 14 Residents maintained links with their relatives and friends as they wished, and are encouraged and assisted by staff to make their own choices about their day to day life. This helps and encourages people to retain control of their life EVIDENCE: Residents said that their family and friends could visit whenever they wished to, they were offered refreshments, and when visiting they could sit in the residents room or in one of the communal lounges. A relative spoken to said he could visit whenever he wished, and found the staff welcoming and friendly. Residents said that they made their own choices about how they spent their day and that staff helped them with this, and so people felt in control of their lives. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 10 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 The home has a satisfactory complaints procedure, which residents are aware of. EVIDENCE: The home has a complaints procedure, which is accessible to all residents and their families, so people are clear about how they can complain if they are unhappy about anything. Written records are kept about any complaints and concerns raised, and how they are dealt with. Residents spoken to said they know what to do if they are unhappy about anything or wish to make a complaint. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 11 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, 26 The communal and private areas in the home are well maintained, clean, and provide comfortable accommodation for residents. EVIDENCE: The home is maintained to a good standard, and residents found their surroundings pleasant and comfortable. There is easy access to outdoor areas, which have seating areas and flower tubs. The home was clean and hygienic on the day of the inspection. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 12 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 There were sufficient staff on duty with the required skills to meet the needs of residents. EVIDENCE: On the day of the inspection there were six members of care staff on duty in addition to the supervisor, domestic and kitchen staff. There was also an activity organiser on duty during the morning. Residents said their needs were attended to promptly, by staff that were kind and caring. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 13 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, 38 The manager provided leadership and direction to staff to ensure residents received consistent, good quality care. The practices and systems in place, safeguard the health and safety of residents, staff and visitors to the home. EVIDENCE: The Manager of the home is competent, qualified and ensures his knowledge is updated regularly. Staff spoken to say they would always be able to approach the Manager or senior staff member with any problems or issues they had, and believed they would be listened to. All of the tests and checks were being carried out to ensure the home was a safe place to live, work and visit. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 14 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 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 15 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. 1 Refer to Standard 8 Good Practice Recommendations Resident’s healthcare issues followed up by the supervisor must be recorded. Inglewood (Wigton) DS0000035221.V255855.R01.S.doc Version 5.0 Page 16 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.V255855.R01.S.doc Version 5.0 Page 17 - 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. 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