Inspection on 13/07/06 for Inspirations

This inspection was carried out on 13th July 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

Inspirations 12/09/05

Inspirations 02/06/05

Inspirations 24/08/04

Inspirations 18/05/04

Inspirations 06/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Westmead

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Inspirations Inspirations 171 Tettenhall Road Wolverhampton West Midlands WV6 0BZ Lead Inspector Mr Ian Harris Key Unannounced Inspection 13th July 2006 08:00 13/07/06 08:00 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 Inspirations DS0000020893.V297427.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. Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Inspirations Address Inspirations 171 Tettenhall Road Wolverhampton West Midlands WV6 0BZ 01902 710938 01902 566067 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) Mrs Patricia Hayward Mrs Patricia Hayward Care Home 15 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (15) of places Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Females aged 60 years and above and males aged 65 years and above. No number division between categories. Maximum number of Service Users is Fifteen (15). The maximum number of service users with dementia that can be accommodated at any one time is fifteen (15). The category of DE (dementia) is for Mild Dementia only. Date of last inspection 12th September 2005 Brief Description of the Service: Inspirations is a care home providing accommodation for 15 older people. It is a large, semi-detached building, situated on the Tettenhall Road about one and a half miles from Wolverhampton City centre. The accommodation is arranged over three floors and there is a passenger lift to each floor. There are various amenities nearby, including churches, pubs, a library and shops. West Park is a short distance away. There is limited parking to the front of the property and a larger car park at the rear. All bedrooms are single, seven having an en suite facility. The registered persons operate an ongoing programme of routine maintenance and renovation and the property is tastefully decorated. Inspirations DS0000020893.V297427.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. 5 members of staff and 6 residents were spoken to. This home has a history of meeting and exceeding national minimum standards and providing a good service for the residents It was noted that the fees range between, £385 to £420. 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 to who could express themselves in a meaning full way expressed their satisfaction with the home and the care they receive. “ We are all very happy here” “ we are one big happy family” “ The staff look after me” were some of the comments made. What the service does well: Inspirations, continues to provide an excellent standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. In particularly the work that the home is carrying out through a designated member of staff to assist people with cognitive impairment and the activities from the Alzheimer’s activities resource book is to be commended. The staff have compiled a life story book on each resident and a memory box which is placed in each bedroom that contains information, photographs and mementos from the residents past. These help the staff to assist residents to grasp where they are in time and place. Observations during the inspection saw very attentive staff providing for the individual needs of the residents and assisting them with choices. A number of residents confirmed that the care staff are very kind and caring. “ We are one big happy family”. The chair of the residents Association who meets with the relatives of the residents on a regular basis confirmed that the home was very well run and all the staff are very committed to provide a high standard of care. He stated that his father who died eight years ago lived in the home and was care for very well and he has continued to visit the home and support the residents and staff since. The home has a very good staff- training programme, which all staff are involved in, this ensures that they continue to improving their knowledge and skills. In particular the links with the Alzheimer’s Society and Bradford University, which provide specialist training. Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 6 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. Inspirations DS0000020893.V297427.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 Inspirations DS0000020893.V297427.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): 1, 3 and 6 Appropriate assessments of need are in place and are carried out before admission of a resident. The home does not provide intermediate care they only provide short stay and introductory stays when the home has a vacancy. 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 resident’s 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 provides clear and accurate information to prospective residents on the services provided, in the form of a C.D. Rom. Audiotape, and a brochure in large print enabling them to make a properly informed choice about the home. The home also has a web site. All the residents are permanent. The home does not provide intermediate care. Inspirations DS0000020893.V297427.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 good comprehensive, individual care plan that ensues thar residents health and social needs are met. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are 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 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. Inspirations DS0000020893.V297427.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. The Care Manager said that the G.P. surgery is very close to the home and where possible residents are escorted to the surgery for appointments. 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. Medication is administered by means of a Boot’s monitored dosage system. The system appears to be working very well. The home receives good support from the Boot’s pharmacist who does a three monthly audit of the homes medication. All Senior Care Staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which are used as an integral part of the staff induction programme. Inspirations DS0000020893.V297427.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 stimulating experience for the residents where they are encouraged to maintain their independence as much as possible The home provides a good range of social activities within and outside the home designed to the capabilities of the residents 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 excellent. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The routines and activities within the home are flexible and are built around the needs of the residents. There was also evidence to show staff do consult with the residents regarding the choice of meals and activities within the home. For residents with communication problem this is done with photographs and pictures from magazines. The Care Staff also identify interests that the residents wish to pursue. A regular programme of musical evenings, Art and Craft sessions, board- games, keep fit and sing-a-longs is organised within the home. There is a designated member of staff who has responsibility for organising social activities, who is using an activities resource book produced by the Alzheimer’s Society this ensure that the activities are appropriate to the residents capabilities. Also regular outings to garden Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 12 centres, the City Centre and local parks are arranged on an individual basis throughout the summer months. The staff have compiled a life story book on each resident and a memory box which is placed in each bedroom, that contains information, photographs and mementos from the residents passed. The staff at the home, encourage regular contact between residents and their relatives by inviting them to parties, fetes, outings and celebrations. There is also a residents Association that meet at least three times a year that help the staff plan outings and activities for the residents and to discuss general issues regarding the home. All residents have single rooms and 8 have en-suite facilities. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. The observations made, examination of menus and the comments received from the residents and the relative’s representative confirmed that particular attention is given to the residents’ individual preferences. Comments made by residents regarding the quality, quantity and variety of food provided were highly complimentary. Inspirations DS0000020893.V297427.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 satisfactory complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies 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 good complaints procedure and all complaints are recorded in a, complains book. Residents and their families are given a copy, of the complaints procedure at admission and there are copies readily available in the home. It was noted that no complaints have been recorded since the last inspection. However it was noted, in the passed minor complaints have been dealt with quickly and appropriately. The home has good policies and procedures in place regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which includes, a Whistle-Blowing policy. These issues are also covered in the induction, N.V.Q. training, and internal training sessions using a video tape. Inspirations DS0000020893.V297427.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, 24 and 26 The standard of the environment within the home and the garden is very high providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour, which ensures the residents have pleasant living conditions. 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 is long established and has undergone alterations over the years in order to provide appropriate accommodation for older people. The home is maintained to a very high standard, as are the gardens and grounds and provides a very comfortable homely and safe atmosphere. It was noted that since the last inspection the 1st floor toilet, and bedrooms 1 and 2 have been redecorated, new double glazed windows have been fitted to the green lounge Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 15 bedroom 11 and the 1st floor toilet, the exterior of the building has been redecorated, and the patio at the rear of the build has been extended all of which has improved the environment for the residents. The resident’s bedrooms have been personalised with the residents’ own personal possessions and have been fitted with new curtains. This gives the appearance of a very comfortable 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 was found to be clean, tidy and free from odour. The home has good policies and procedures regarding infection control and all the staff have received training in food hygiene All staff appeared to be conscious of the dangers of cross infection and were using appropriate protective clothing when necessary. Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 16 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 residents support needs. The home has good policies and procedures regarding the recruitment of staff. 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 staff 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. It was noted that there have been minimal staff changes since the last inspection The home operates an acceptable recruitment procedure and has registered with the Social Care Association in order to complete the appropriate checks on staff. On inspecting 4 staff files, there was evidence within them that all the checks are being carried out. The Care Manager and staff are committed to developing their knowledge and skill through training. The home has a very good induction programme and training programme. In addition to the N.V.Q. 2, 3 and 4 training programme the Manager and Deputy Manager has the Registered Managers Award. Also all of the care staff have attended training courses on the following subjects. Safe handling of medication, Risk assessment, Dementia care, Manual Handling, First- Aid, Infection Control Dementia Care level 2 and Fire Prevention. The Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 17 Care Manager is booked on a course on Dementia Mapping at Bradford University, which she hopes to bring back and share with the rest of the care staff. Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 18 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, 35, and 38 The home is a well managed, where service users interests and welfare is promoted. The home is operating a good system to assist residents with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. All the general records that were inspected, were found to be well ordered and maintained. The home has good policies and procedures regarding Health and safety. 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 is well managed by the Care Manager who is qualified in both practice and management and has considerable experience in caring for older Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 19 people in residential homes There are clear lines of accountability within the home and is very supportive of both staff and residents. Observations made and discussions with residents’ and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and service users who could express themselves stated that they are happy to approach the Care Manager and staff with any problems they might have and were confident that they would be responded to. Discussions with the chair of the Residents Association who meets with the relatives of the residents on a regular basis confirmed that the home was very well run and all the staff are approachable. There is a good staff supervision system in place and there is evidence that the staff have regular supervision meetings. 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 consult with the residents regarding the choice of meals and activities within the home using photographs where necessary and this was confirmed by the residents who could express themselves in a meaningful way. There are regular residents and relatives meetings where residents are consulted about menus and entertainment etc. All the Financial 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 recommendations and requirements made at the last inspections of the Fire Prevention Officer and Environmental Health Officer have been actioned. All safety equipment is regularly checked and well maintained. Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 20 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 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 21 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 Inspirations DS0000020893.V297427.R01.S.doc Version 5.2 Page 22 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. 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