Inspection on 07/06/05 for New Wycliffe Home

This inspection was carried out on 7th June 2005.

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

New Wycliffe Home 04/04/07

New Wycliffe Home 18/11/05

New Wycliffe Home 05/11/04

New Wycliffe Home 29/04/04

Similar services:

Applegarth

Thornham Grove

Hunter`s Lodge

Conifer Lodge

Manor Court

92 Black Prince Avenue

Agnes House

The Manor House

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

CARE HOMES FOR OLDER PEOPLE New Wycliffe Home 111 Gleneagles Avenue Rushey Mead Leicester LE4 7YJ Lead Inspector Bhavna Keane-Rao Unannounced 7 June 2005 at 10:00am th 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 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 C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service New Wycliffe Home Address 111 Gleneagles Avenue Rushey Mead Leicester LE4 7YJ 0116 266 7093 0116 266 7093 None VISTA Telephone number Fax number Email 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 DE(E) Dementia - over 65 (20) registration, with number of places SI(E) Sensory Impair over 65 (46) SI Sensory Impairment (46) New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No-one under the age of 55 years in category SI to be admitted to the home. That no persons falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated within 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). Date of last inspection 05/11/04 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.The first floor can be accessed by a passenger lift or the stairs.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 C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during Tuesday morning and early afternoon. A number of residents were spoken with, but detailed discussions were only held with four of them. One resident asked not be disturbed, as he was not feeling well. A tour of the premises was undertaken and opportunity was taken to view residents daily records, menus of meals, fire records, a staff rota and staff records. The registered manager and the assistant manager who facilitated this inspection, spent time discussing many issues that arise in the running of this residential home and the provision of care for older people. The registered manager and the staff group are thanked for allowing one of the directors of the Commission for Social Care Inspection, David Walden, to accompany the inspector on this visit. What the service does well: The registered managers and her staff provide the residents in the home with a provision of care that meets their needs, which is safe, comfortable and prompt. The décor in the home creates a relaxed atmosphere. Residents have a stimulating and varied life at the home. Residents are free to move around the home having a choice of several lounges include a separate smoking lounge. Residents receive a choice of nutritious and balanced meals. The interaction between the residents and staff was very relaxed and friendly. Records examined were clear, detailed with factual information and easy to read. Residents spoke very positively and were complimentary about the manager, the staff and the way in which they are involved and cared for. Staff were observed to be generally very conscientious, attentive and friendly in their dealings with residents. The atmosphere in the home is warm and friendly, staff addressed residents by their preferred name. Visitors to the home were welcomed and offered a hot or cold drink. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 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. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 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 standard(s) 2,3,5 and 6 Information about the home is provided from the earliest opportunity and at regular intervals. The admission process is well managed and reflected in the records. Resident entering the home are always assessed so that their needs are fully met. EVIDENCE: Examination of the Statement of Purpose indicated that the document accurately describes the services provided in the home. This is on tape and compact disc. This is considered to be a good working practice. The admission procedure is adequate in that assessments of individuals are carried out by health and/or social care professionals, as part of the referral process. Four service user files viewed, detailed the specific care needs of service users, identifying the needs that would be met by heath and/or social care professionals. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 9 A recently admitted resident stated that she was told about this home before she moved in, but that her daughter was given ‘a lot of papers to read before the move’. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9 and 10 Residents are well looked after having their health and social care needs are generally met. Administration of medication in the home is satisfactory. The recording of medication is not satisfactory. Residents’ records are accurate and clear. Residents’ privacy is upheld and they are treated with respect. EVIDENCE: Recording in the residents’ plans of care was detailed setting out clearly preferences and assistance required for residents to continue living as independent as possible, depending on care needs. Residents who were spoken with said they were involved in the provision of care and the review meetings. All the residents are on electoral register and had received their voting cards for the last elections. Medication is stored in a locked medical trolley inside the medical/ treatment room and administered by staff that are trained. Administration of medication and recording was seen and the recording of medication is considered to be New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 11 unsatisfactory. On a number of occasions it was noted that on the MAR sheets ‘o’ had been inserted after they had been signed. Discussion was held with the registered manager as this indicates that staff are actually signing records prior to giving out the medication. Another area of concern was that ‘o’ is used as per the key symbols at the bottom of the MAR sheets. However no further explanation is given, against the home’s own administration of medication guidance. Observations in the lounge and the dining areas showed that staff have a good awareness of how to speak with residents with courtesy and kindness. Staff were also heard discussing provision of care for residents in a discreet manner. A number of residents had to be assisted with mobility; this was done with respect and sensitivity. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12,13,14 and 15 Residents’ religious preferences are catered for. Residents’ relatives are happy with the choice and input that they are given in the provision of care. Staff ensure residents are given stimulation and their recreational needs are met. Residents receive a varied wholesome and balanced meal. EVIDENCE: Staff undertake activities with residents both individually and in groups. Residents spoken with gave examples of how the home satisfies their choice of daily living at the home, the social and recreational interests. One person likes to go for a walk and to the pub everyday and this is accommodated. There are regular residents and relatives meeting held at the home, for those who wish to attend, where information about events and changes to the home are shared and any matters of concern about the home are raised. Menus were viewed and demonstrated that meals provided are nutritionally balanced and appealing. The menu is displayed on the notice board outside New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 13 the dining area giving a choice of two main meals. There is a talking menu, which has been specifically designed for this home to inform people with a visual impairment what is available. The registered manager and her staff are commended for this working practice. A number of residents were observed discreetly being assisted with their meals. The interaction between the residents and staff was very positive. The staff are commended for this working practice. There is a notice board where the activities to be provided during the week is displayed. Number of residents who were spoken with stated that they often go on the home’s minibus. A residents’ befriender was spoken with who stated that the residents are very well looked after and was provided with stimulation to keep them as busy as they wished. This person is also a volunteer at the home. On the afternoon of the inspection number of residents were looking forward to going out for a pub lunch and a few were to participate in the exercise class. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16 and 18 Residents are confident in discussing any issues of concerns with the staff or the manager before it leads to a complaint. Adult protection procedures are in place and staff and the residents are trained to respond to any suspicion or allegation of abuse. EVIDENCE: Residents who were spoken with stated that they feel very comfortable discussing any concerns with the home’s manager. The complaints procedures are available for residents and visitors. Residents spoken with felt they were safe and protected. The new adult protection procedure has been introduced and staff spoken to showed their awareness of their duty to alert a senior member of staff of any concerns. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19,20,21,22,23,24,25 and 26 Residents are provided with a comfortable, well-maintained and safe standard of accommodation. The atmosphere in the home is warm and welcoming. EVIDENCE: The residents who were spoken with were very pleased with their bedrooms and were observed using the communal areas freely. There is ample natural light throughout the home. It is decorated and furnished to a standard that creates a comfortable homely atmosphere. There are several lounges on the ground and first floor of the home. There is a large dining room and conservatory close to the kitchen. Entry to the home and to the garden is wheelchair friendly. Both internal and external areas of the home are designed to be suitable for people who have a visual impairment. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 16 The garden area is flat with climbing plants, potted plants and seating areas. The garden is designed to include a sensory area to stimulate all senses. The grounds are well maintained and were being used on the day of the inspection. There are handrails throughout the home and the garden. Staff are trained to use specialist equipment available the home to maximise residents independence. Several residents bedrooms viewed were homely with ample space. Residents are able to bring items of furniture and personal possessions with them. All areas of the home were cleaned to a high standard with pleasant smells. Two wheelchairs were stored in one upstairs bathroom; these were removed during the inspection. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 The staff at the home are competent and able to provide for the general care needs of residents at the home. There is ongoing training to ensure that all the staff are providing high quality care. The staff try hard to ensure that they meet the care needs of residents. EVIDENCE: Since the last inspection ten members of staff have left the home. The staff within the home, including the manager, have worked additional hours to cover this shortfall when required as a short-term measure. Seventeen new staff have been recruited since April 2004. 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, domestic person, housekeeper, handy person, assistant manager and the managers. At present there are forty-three residents for whom care is provided. There are also fourteen volunteers to assist in the promoting residents interests and hobbies along with the employed staff. The responsibilities of the staff in the home are specific and there are job descriptions for all of these different roles. The staff spoken with were clear about their individual roles in the provision of care within the home. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 18 Following training has been provided in the last twelve months: • Moving and Handling. • Distance learning course- medication. • First Aid. • Prevention of falls. • Diabetic awareness. • Principles of care. • Diversity. • Bereavement awareness. • Pressure area care. • Visibly better • Health and Safety. • Dementia • Food Hygiene. • Record Keeping/Data protection. • Older people and sight loss. • Heart Condition. • National Vocational Qualification. • Management leadership skills. The above is a list of only some of the training provided by the home. Staff files were viewed, these contained all required checks and paperwork. The residents who were spoken with were positive about the staff employed at the home. One particular resident stated that she was always encouraged to go and to try to be more independent. The observed interaction between the staff and residents was relaxed and friendly. All the staff have now commenced their National Vocational Training level 2. The registered manager has successfully completed her NVQ level 4 training along with the Registered Managers Award. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 and 38 Residents are consulted about living in the home. The residents’ finances are safeguarded with a robust system. Residents and staff’s health, safety and welfare are being promoted and protected. The manager, the assistant manager and the deputy manager have an ‘open door policy’, which enables the staff and the residents to access them at anytime. EVIDENCE: The staff and the residents who were spoken with felt that they could go to either the manager, assistant manager or the deputy manager at any time with any concern. All the residents spoken with spoke very highly of the assistant manager and his interpersonal skills. This is positive working practice. Residents Meetings are held regularly and minutes of the recent meeting were viewed. Residents can choose to attend. Information and events are shared New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 20 with the residents and the residents have the opportunity to make suggestions, matters of interest or concerns. Records of residents’ valuables and cash are accurately detailed and up to date. There is a maintenance programme for the home and the equipment. A random sample of records checked was up to date including fire drills. During the tour of the home, fire exits were clearly marked and were not obstructed. New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 4 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 22 No 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 9 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 Immediate 2. 9 13 Immediate 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 None Good Practice Recommendations New Wycliffe Home C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 C51 C01 S6413 New Wycliffe V231379 070605 Stage 4.doc Version 1.30 Page 24 - 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. 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