CARE HOMES FOR OLDER PEOPLE
New Wycliffe Home 111 Gleneagles Avenue Rushey Mead Leicester Leicestershire LE4 7YJ Lead Inspector
Mrs Bhavna Keane-Rao Unannounced Inspection 18th November 2005 09:30 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 New Wycliffe Home DS0000006413.V267297.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. New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service New Wycliffe Home Address 111 Gleneagles Avenue Rushey Mead Leicester Leicestershire LE4 7YJ 0116 266 7093 0116 266 7093 julie.rudd@vistablind.org.uk www.vistablind.org.uk VISTA 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 Julie Rudd Care Home 46 Category(ies) of Dementia - over 65 years of age (20), Sensory registration, with number impairment (46), Sensory Impairment over 65 of places years of age (46) New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No one under the age of 55 years in category SI to be admitted to the home. The home is registered to admit up to 20 Service users with Dementia of over 65 Years of age DE(E), who also have sensory impairment SI(E) as stated in variation application number V1008 dated 24/12/2003. Additional Condition That no persons falling in category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated in the home. Any person who falls within category DE(E) may only be accommodated within the home if he/she also falls within the category SI(E) To be able to admit the named person of the category SI named in the variation application number V19749 7th June 2005 3. 4. 5. Date of last inspection Brief Description of the Service: New Wycliffe Home for the Blind offers care for up to 46 older people who have a visual impairment. The home is also registered to provide care for up to 20 people who have a dual impairment i.e. people who have sensory impairment and dementia. This home has been extensively refurbished and has been up dated to enable it to comply with the required standards. The home is situated close to the Rushy Mead area in Leicestershire. The home is set in its own large grounds, which are designed to enable service users with a visual impairment to use them fully. The accommodation is provided on the ground and first floor. There are lounge areas on both the floors. All the communal areas are colour coded to enable service users to identify their surroundings. A passenger lift or the stairs can access the first floor. All bedrooms are single rooms with en-suite facility. There are choices of communal sitting areas for service users use. The home is a smoke free area except for one lounge where service users are able to smoke. New Wycliffe Home DS0000006413.V267297.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 during Friday morning. It took three hours to complete. This home provides care for up to forty-six residents with a visual impairment, of whom up to twenty residents may have dementia. Discussion was held with five residents. However other residents were observed in their daily routine. Three resident were spoken with in great detail. A resident’s relative was also spoken with in detail. One resident asked not to be disturbed. The primary method of inspection was speaking to the residents who use the service provided. All the required key standards were inspected during the last visit on 7th June 2005. Therefore only specific standards were inspected this time. All areas of concerns raised at the last inspection have been met. A tour of the premises was undertaken and opportunity was taken to view medication sheets, menus of meals and staff rota. The manager was on duty during the whole of the inspection. The manager spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well:
The registered manager and the staff at the home are very willing to learn and improve the service provided for the residents. The motto at the home is “ Nothing about me without me” This is displayed on the notice board to ensure all the staff are aware that residents must be consulted about all aspect of care. The manager and her staff are commended for this working practice. One person stated, “ We are made very comfortable by the staff and the manager”. One person stated “I love it here”. Another person stated that they got “pampered by the staff”. The activities board lists all the activities that are arranged by the home. Some of these activities are facilitated by staff and some by outside entertainers New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 6 Another person stated, “ I like having breakfast in bed, which is always provided”. This facility is available for all the residents. When discussing favourite food one person stated that she loved “ a really buttery toast with an egg, I get this every morning”. A resident’s relative spoken with stated that “everything is lovely here and my mother is safe well looked after”. On the day of the inspection a volunteer at the home had made some cakes for the residents and the staff. These were very appreciated by all, including the inspector. 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
New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 8 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 New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 9 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): 4 The admission process is well managed and residents entering the home and know that their care needs will be met. EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by health and/or social care professionals, as part of the referral process. There have been nine new referrals to the home since the last inspection. Detailed discussion was held with one recently admitted resident and her relative, they were both very satisfied with the move to this home and the provision of care provided. New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 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): 9 The system for administration of medication is safe. EVIDENCE: All the required standards were inspected at the last inspection. Medication is stored in a locked trolley in the treatment room and administered by staff that are trained. Administration of medication and recording was seen and is considered to be safe. There is a system in place where all areas of concerns are highlighted and dealt with promptly. New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 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): 15 Residents’ dietary needs are met. EVIDENCE: All the required standards were inspected at the last inspection. The residents who were spoken with stated that they liked the meals provided. One resident stated that she liked fish and chips every Friday, since “ I’ve always had it on Friday and I still do”. There is always a choice of two meals and an alternative if so requested. All the residents spoken with stated that they can have drinks at anytime. The drinks trolley was viewed and contained fresh fruit, biscuits, crisps and cakes. A relative who was spoken with stated that she is always offered a drink. New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 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): 18 Residents are safe and protected from abuse. EVIDENCE: All the required standards were inspected at the last inspection. Residents and their relative’s comment showed that people feel comfortable discussing concerns with the home’s manager, assistant manager and the staff. The complaints procedure is available for residents and visitors. Residents spoken with felt they were safe and protected. The adult protection procedure has been given to all the staff. The home has recently dealt with an allegation, this has been dealt with promptly following the correct procedure. Up to date records have been kept and the relevant health care professionals have been kept informed at all stages. New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 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): 24 A comfortable, well-maintained, pleasant, clean and safe standard of accommodation is provided for the residents. EVIDENCE: All the required standards were inspected at the last inspection. The home is well maintained and suited to residents needs. There is ample natural light throughout the home. It is decorated and furnished to an acceptable standard that creates a comfortable homely atmosphere. There are a number of lounge areas and a dining area leading to the conservatory and to the back garden. Entry to the home and to the garden is wheelchair friendly. The residents who were spoken with expressed their satisfaction with the physical state of the home. The garden area is flat with climbing plants, pot plants, trees, seating area and a lawn all designed for use by people who have a visual and or sensory impairment.
New Wycliffe Home DS0000006413.V267297.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): None EVIDENCE: All the required standards were inspected at the last inspection. On the day of the unannounced inspection there were seven members of care staff on duty to provide care for the residents. In addition to this there is the cook, assistant cook, domestic person, housekeeper, administration person, a senior and the manager. New Wycliffe Home DS0000006413.V267297.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): None EVIDENCE: All the required standards were inspected at the last inspection. Residents who were spoken with were positive about the staff employed at the home. One particular resident relative stated that she could not thank the staff enough for the care provided for her mother. The observed interaction between the staff and residents was relaxed and friendly. New Wycliffe Home DS0000006413.V267297.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 3 X X N/A 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X 3 X X 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 New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 17 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. 1. Standard OP9 Regulation 13 Requirement It is required that Medication Administration Sheets are only signed after medication is given out on individual basis. As per the homes Safe Handling of Medication guidance. It is required that correct key symbols are used when signing the MAR sheets. As per the homes Safe Handling of Medication guidance. Timescale for action 07/06/05 2. OP9 13 07/06/05 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 New Wycliffe Home DS0000006413.V267297.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 New Wycliffe Home DS0000006413.V267297.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!
