Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 22/11/05 for The Willows Residential Home For The Elderly

Also see our care home review for The Willows Residential Home For The Elderly for more information

This inspection was carried out on 22nd November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is very friendly and welcoming and is run in the Residents best interests. Residents are protected and listened to, one Resident told the Inspector that they had only been there a short time but was more than happy with the staff, they listened to her and `I receive the care I want`, the Inspector was also told that the food was very good. The relative spoken to was very complimentary about the care their mother received and the service provided.

What has improved since the last inspection?

The Inspector looked at the 4 Requirements made at the last inspection, 3 of these had been addressed and completed, the Deputy has now completed her Registered Managers Award and it is anticipated that a completed application for the Managers position will be made in early January 2006. The Deputy has also attended a 2 day Adult Protection course and is going to hold training sessions with the staff team. The home has worked hard at developing their relationships with external agencies and these have improved.

CARE HOMES FOR OLDER PEOPLE The Willows Residential Home For The Elderly The Willows The Broadway Minster Sheerness Kent ME12 2DE Lead Inspector Graham Cummings Announced Inspection 22nd 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 The Willows Residential Home For The Elderly DS0000024023.V254083.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. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Willows Residential Home For The Elderly Address The Willows The Broadway Minster Sheerness Kent ME12 2DE 01795 874975 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 Tracey Melanie Gobbi Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: The home is situated near the coastal road at Minster and offers accommodation for 10 older people. The ten single bedrooms are located on both the ground and the first floor. There is no shaft lift access between floors and the stairs are narrow and incorporate a bend, so the home may not be suitable for anyone with very limited mobility. However, there is a sitting room on both floors, with the one on the first floor having access to a large balcony, with views over the sea.The home is on a bus route, so provides easy access to all the local amenities in the town of Sheerness, which is roughly two miles away. There is limited parking to the front of the property, but unrestricted on-road parking at the side. Service Users mostly come from the local community and retain their own GPs when moving in. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out the Announced Inspection on the 22nd November 2005. The Inspection consisted of speaking with the Manager, Deputy Manager, Residents, staff, relative, looking at care plans and information received in the Pre Inspection Questionnaire, 3 relative and 6 Resident comment cards were returned. The Requirements from the last inspection were discussed, the Inspector was informed that the home will have 50 of staff achieving NVQ Level 2 by the end of the year. Each Resident now has an inventory of belongings that is located at the back of the care plan. Since the last inspection, the Manager has informed the Inspector of 2 notifiable incidents. The Inspector will send a Managers application pack to Kelly Southfield. During discussions with a relative and Resident the Inspector only heard positive comments about the running of the home and the quality of care provided. The Inspector left having no concerns for the health, safety or welfare of the Residents. What the service does well: What has improved since the last inspection? What they could do better: The home should continue to maintain the standards of care being provided and to keep building on their relationships with external agencies. Please contact the provider for advice of actions taken in response to this The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 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 Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 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): 1,2,3,6 Prospective Residents have the information available to make an informed choice. Residents have a written contract with the home. The needs of Residents are assessed prior to coming into the home. The home does not take intermediate care Residents. EVIDENCE: The homes Statement and Purpose reflects the way the home is run and gives any interested parties the required information to make an informed decision about any placement. The Inspector looked at a Residents file a saw a pre placement assessment and a written contract that contained the information set out Standard 2. The home does not cater for intermediate care. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 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): 7,8,9,10,11 Residents needs are set out in a care plan. Residents health needs are fully met. Residents are protected by the homes policies and procedures for dealing with medicines. Residents feel they are treated with respect. Residents are assured that they and their family will be treated with care and respect at the time of death. EVIDENCE: The Inspector saw a Residents file that had a care plan setting out the individual needs and care required. All of the Residents had been registered with a G.P. and have access to Opticians and Dentists. None of the Residents presently living at the home self medicate but the home does have a policy to cover this should it be needed. One Resident spoken to told the Inspector that ‘I am treated so well, the staff are always available and come quickly if I press the help button’ ‘they are so helpful and polite and nothing is too much for them’. The wishes of the Resident at the time of death was written and included in the care plan, the information was gathered from the Resident. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 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): 14,15 Residents are helped to exercise choice and control over their lives. Residents receive a balanced and nutritious diet. EVIDENCE: Residents are able to choose if they wish to participate in any of the activities that take place, the clothes they wear, having the hairdresser, chiropodist and newspapers. The Residents are not woken in the morning but allowed to wake naturally. The Residents receive a wholesome and nutritious diet and the Inspector looked at the menu and this was confirmed. The Inspector saw lunch being served and noted that it was plentiful and hot. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 11 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): 17,18 Residents legal rights are protected. Residents are protected from abuse. EVIDENCE: The Inspector was informed that Residents legal rights were protected, any post was always given to the individual to open, access to a phone, family, friends, Doctors and others was available. The Deputy Manager had just attended a 2 day Adult Protection training course and they are going to run short training sessions within the home to pass down the information to other staff. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 12 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): 19,24,26 Residents live in a safe well maintained environment. Residents bedrooms are safe and comfortable and included personal possessions. The home is clean, pleasant and hygienic. EVIDENCE: The Inspector toured the home and found it to be well maintained clean and tidy. The home has a cleaner who is very dedicated and proud of her role and she maintains a high standard of cleanliness. The Inspector saw a large number of the bedrooms and all were well furnished and personalised with the Individuals possessions. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 13 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): 27,28,30 Residents needs are met by the number of staff on duty. Residents are in safe hands. Staff are trained and competent to do their jobs. EVIDENCE: All Residents have a needs assessment carried out by staff prior to any placement taking place. The home employs 9 full time staff, the Inspector was given a rota for a 3 week period and this averaged out at 250 staff hours per week, on using the Residential Forum guidance on care hours this estimated a need for 232 hour per week. Over the last year staff have attended Adult Protection training also First Aid, Medication, Moving and Handling, Basic care and Nutrition. Plans have been made for further training in the near future to include Fire Protection, Infection Control and Adult Protection. The Inspector hoped that the Managers position would be clarified by the early part of 2006 and a fit person interview held by March 2006. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 14 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): 31,32,34,35,37,38 A person fit to be in charge runs the home. Residents are safeguarded by financial procedures of the home. Residents are safeguarded by the homes record keeping, policies and procedures. The health, safety and welfare of Residents and staff are promoted and protected. EVIDENCE: The day to day running of the home is carried out by the Deputy Manager and overseen by the Provider until the outcome of the Deputies Registered Managers Award which they have completed and submitted. The Residents finances are dealt with by relatives and there are policies and procedures in place should any finances need to be administered by the home. There are no indications for the Inspector to have any concerns regarding the financial future of the home. The Inspector looked at a Residents file and daily notes and found these to be fully up to date and informative. The Inspector was satisfied that the health, safety and welfare of the Residents and staff were protected. The home has notified the Inspector of 2 incidents within the home. The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 15 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 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 X 3 3 X 3 3 The Willows Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 16 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. 1. Standard OP32 Regulation 8(1)(a) Requirement The Registered Provider shall appoint an individual to manage the care home where - (a) there is no registered manager in respect of the care home. Timescale for action 31/03/06 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 Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Residential Home For The Elderly DS0000024023.V254083.R01.S.doc Version 5.0 Page 18 - 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!