Inspection on 09/01/06 for The Willows

This inspection was carried out on 9th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The Willows 19/06/07

The Willows 21/07/05

The Willows 24/11/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOMES FOR OLDER PEOPLE The Willows 90 Uttoxeter Road Blythe Bridge Stoke-on-Trent Staffordshire ST11 9JG Lead Inspector Lynne Gammon Announced Inspection 9th January 2006 2:00 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 The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Willows Address 90 Uttoxeter Road Blythe Bridge Stoke-on-Trent Staffordshire ST11 9JG 01332 726 913 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) atol54@dsl.pipex.com Gary Leslie Day Stuart Kirk Gary Leslie Day Care Home 12 Category(ies) of Dementia - over 65 years of age (7), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5) The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 21st July 2005. Brief Description of the Service: The Willows is a Victorian villa that has been sympathetically extended to provide accommodation for twelve older people of either sex, seven of whom may have Dementia as their primary diagnosis, and five of whom may have any other form of mental illness that is not Dementia or Learning Disability. The accommodation provides one shared and ten single rooms that are located on both floors of the registered facility. All rooms meet the size requirements of current legislation and eight benefit from en-suite facilities. Residents all live together in an integrated group, with no distinction being made because of registration category. There is no designated bed kept for respite care, but should there be a bed available, then respite care will be offered. There are bathing facilities to both floors and adapted toilets sited close to the ground floor lounge and dining room. There is a small laundry and a good sized domestic type kitchen. The home is situated on a former trunk road in easy reach of local amenities of shops, public house, bank, railway station and buses and since the building of the A50 road, enjoys the status of being in a quiet residential area. To the rear of the house is an enclosed garden that has been lovingly created to give enjoyment and stimulation to residents with differing levels of appreciation and physical and mental ability. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on 9th January 2006 at 2.00 pm. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to six hours. The inspection included a part tour of the building, inspection of records, observation, and discussions with service users and staff. What the service does well: What has improved since the last inspection? A number of rooms had been redecorated and had new carpeting in place. The downstairs corridor had also been redecorated and a new leather sofa, new bath/shower, new boiler and new tumble dryer had been purchased for the home since the last inspection. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Potential service users received detailed information about the home and the service it provided to enable an informed choice to be made about the suitability of the home for them. Each service user had a contract with the home and they were assured that the home could meet their assessed needs before moving into the home. EVIDENCE: The inspector examined the home’s Statement of Purpose and Service User Guide and found they contained all of the required elements to provide service users with a clear understanding of the service provided at the Willows. A service user’s contract was also inspected and contained details of the terms and conditions of residency. These included: fees and the scope of the fees, those items/services not included in the fees and notice conditions, etc. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 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 and 8 The care planning processes continued to be very clear and detailed to enable staff to have a full understanding of service user’s needs. All health care needs were met and service users had access to a range of health professionals. EVIDENCE: Two service user care plans were inspected and were very well organised and contained detailed recording to provide staff with information to understand and meet individual needs. Care plans were reviewed monthly and risk assessments were completed as required and also reviewed monthly. Health care needs were met very well and records showed that service users had access to other health care professionals. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 10 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 All key standards were inspected at the previous inspection on 21/07/05 and were met very well. A range of activities was available for the service users and they were enabled and supported to maintain contact with their families and friends. They were also able to make their own decisions and choices about their own lives and received a varied, nutritious diet to meet their needs. EVIDENCE: A range of activities remained in place for the service users which included a recent pantomime of Jack and the Beanstalk being held in the home, Xmas lunch at the Isaac Walton, a Xmas party, shopping trips, entertainment at the home including a visit from a local primary school choir, progressive mobility sessions etc. Discussions with service users and observation throughout the inspection confirmed that they were supported and enabled to make their own choices and decisions about their day-to-day lives and to maintain contact with their relatives and friends. One of the relatives who had completed a questionnaire which had been sent directly to the Commission stated ‘I visit my Grandmother X four times per week and on every visit she seems very happy and well cared for. We are so lucky to have found a fantastic place – everyone meets her The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 11 every need and makes her feel special even when she is feeling very confused and frustrated. In the 12 months she has been there, she is now eating, bathing and on the move’. Another relative commented that the home and staff were ‘Very welcoming and helpful’. During the inspection, the inspector talked to some service users in the dining room who were about to have tea. The dining room was very clean and laid out well, with bowls of fresh fruit for the service users on each table. One service user told the inspector that the food was fabulous and the fruit on the table was there for them to have every day if they wanted it. The inspector also visited the kitchen and all the documentation regarding food probe temperatures and fridge and freezer temperatures were seen to be up-to-date and correct. Menus were examined and contained a variety of well-balanced meals. Soft diets were provided as required and nutritional supplements given. Food storage areas were clean, tidy and well stocked. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Service users were listened to and their views taken into account. Service users were supported to participate in the electoral process and were protected from abuse by on-going training and supervision sessions for staff on the protection of vulnerable adults and the home’s Adult Protection procedure. EVIDENCE: The Commission had not received any complaints or allegations of abuse since the last inspection and service users confirmed that they were listened to and any issues resolved quickly. The registered manager confirmed that service users were enabled to exercise their legal rights directly and were supported by staff to participate in the electoral process if they so wished. On inspection of the care plans, an electoral form was seen for a service user contained within the file. The registered manager also confirmed that all staff had received abuse awareness training on 22/03/05 and in-depth supervision sessions with staff included abuse awareness refresher meetings to ensure that staff remained vigilant regarding the protection of service users. The inspector had examined the questions regarding abuse within the supervision documentation and was impressed by the degree of knowledge required to complete the answers. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 23 and 25 Service users lived in safe, well-maintained surroundings, with specialist equipment provided. The layout and design of the bedrooms suited their needs. EVIDENCE: The layout and location of the home was suitable for the service users and was well maintained and safe both externally and internally. Specialist equipment and adaptations was provided for the service users to promote their independence and included: one assisted bathroom and another bathroom with a new ‘walk in’ shower/bath, grab rails, a chair lift, wander mats, anti-slip paving slabs outside, etc. Dimensions and layout of rooms were sufficient to meet the needs of the service users. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 14 The home was very clean throughout and service users lived in safe and comfortable surroundings where rooms contained covered radiators, smoke alarms and emergency lighting. A number of rooms had been redecorated and had new carpeting in place. A new leather sofa had been purchased for the lounge and the downstairs corridor had also been redecorated. Also a new boiler had been put in place and a new tumble dryer for the laundry room. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 Staff were trained and competent to carry out their roles and responsibilities. EVIDENCE: The inspector examined the records of the type and frequency of training undertaken by the staff within the home. Training records included the following training: Health and Safety 25/01/05, COSHH 22/03/05, Adult Protection 04/04/05, Moving and Handling 02/06/05, Fire Safety 17/08/05, Infection Control 27/09/05 and Challenging Behaviour 20/10/05. Records also showed the training that was planned for 2006 for staff and included Dementia Care, Care of the Dying and Death and others. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35, 37 and 38 Financial procedures were robust to protect service user’s financial interests. Records held were accurate and secure and the health, safety and welfare of service users and staff were upheld and protected. EVIDENCE: Records of service user’s personal allowances were examined and found to balance with monies held. Receipts were seen for each financial transaction undertaken in the home and when responsibility for valuables transferred from service user or relative to the home and vice versa. Records for the protection of service users, individual records and home records were seen to be secure, up to date and in good order. Policy and procedural documentation was inspected and found to be comprehensive and The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 17 seen as reviewed in December 2005. The inspector also examined a range of records and documentation, which evidenced that the health, safety and welfare of service users and staff were protected. Fire safety records showed that the fire alarms and fire extinguishers service took place on 01/04/05 and a weekly fire alarm test took place. Other records included: new boiler installation and checked by approved gas engineer on 18/11/05 with Building Regulations Compliance, an electrical wiring inspection undertaken on 11/04/03, hoist checked on 16/06/05, stair lift serviced on 19/04/05, nurse call system checked and tested 11/04/03 and on 16/08/05 water had been checked for compliance with Legionnaires. COSHH data sheets and associated risk assessments were seen as reviewed in September 2005. The home continued to be well managed and one of the relatives who had completed a questionnaire which had been sent directly to the Commission stated ‘The Willows is a very well run care home. All credit to the owners and their staff’. Another relative said ‘We have recently placed my mother at ‘the Willows’. From the very first day Gary, Stuart and all the staff have been excellent, the home is always warm, clean and inviting. The staff as I’ve witnessed are always interacting with the residents – Marks out of 10 – 10’. The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 4 4 X X 3 3 X 3 X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X 3 3 The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 19 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 The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 The Willows DS0000060725.V270355.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!