Inspection on 01/08/06 for The Wimbledon

This inspection was carried out on 1st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Wimbledon 13/07/07

The Wimbledon 27/02/06

The Wimbledon 09/06/05

The Wimbledon 05/01/05

The Wimbledon 24/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 The Wimbledon 58 Selsea Avenue Herne Bay Kent CT6 8SD Lead Inspector Joseph Harris Unannounced Inspection 1st August 2006 09:30 The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 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 Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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 Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Wimbledon Address 58 Selsea Avenue Herne Bay Kent CT6 8SD 01227 742969 01227 283857 allaboutcare@btconnect.com 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) All About Care Ltd Mrs Michelle Abbott Care Home 34 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (17), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (17) The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: The premises are a large, detached, two storey older property which has been adapted for its present use. When full, there is provision for seven of the bedrooms to be shared by two people each. In practice, only three of these rooms are used as shared accommodation. All of the other service users can have a single occupancy bedroom. The accommodation for service users is provided on both floors of the main building. Access to the first floor is by stairs. One of the bathrooms and some of the toilets are in a poor condition. The Home is situated in a quiet residential area. The nearest shops are within normal walking distance. The current fees for the service at the time of the visit range from £369.50 to £400. Information on the Home services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is allaboutcare@btconnect.com. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on the 1st August 2006 at 9.30am and lasted for approximately 6.5 hours. During the course of the inspection a tour of the premises was undertaken, discussions were held with service users, staff and the registered manager and a range of documentation was examined relating to service users, the day-to-day running of the home, health and safety and staff files. What the service does well: What has improved since the last inspection? The home management has invested in the premises providing a number of new bedrooms, new kitchen equipment and laundry facilities, which has all been completed to a good standard. The registered manager stated that there is a renewed focus on the overall development and improvement of the service. The home has also been addressing the training needs of staff and is working towards ensuring that all staff have completed mandatory training courses. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 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 Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Prospective service users are provided with information about the home. Individual needs and aspirations are assessed. The home ensures it can meet individual needs. Prospective service users have the opportunity to spend time in the home. Each individual is provided with a statement of terms and conditions. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has produced a clear and accessible statement of purpose and service user guide providing information about the service. Both documents contain all required and relevant information and are made available to service users and their representatives. All prospective service users referred to the service have their needs, aspirations and suitability for the home adequately assessed. The majority of individuals are referred through care management/CPA processes and the home ensures that the most recent care plans, risk assessments and background information is gathered. In addition to this the registered manager and/or senior staff assess all new referrals using an assessment tool which addresses holistic needs. The staff in the home aim to visit the individual in their current accommodation. Following this the prospective service user is invited to the home and is able to spend time on short visits ranging to overnight stays allowing both parties to get to know each other and determine the suitability of the service. There is a knowledgable and enthusiastic staff The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 9 team who are provided with suitable to training. The home also has established good links with local community health services. The home provides each service user with a written contract detailing the terms and conditions of residency covering all required elements including fees. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. Each service user has an individual plan of care and support. Residents are enabled to make decisions affecting their lives. Service users are consulted and can participate in the daily running of the home. Individuals are supported to take responsible risks. Information is maintained in a confidential manner. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home develops individual plans for all service users addressing needs and aspirations. A number of service user plans were viewed at random and all showed that sufficient information is provided to ensure that the assessed needs are adequately addressed and that guidance for staff is provided in order that the needs can be consistently met. The plans are regularly reviewed and updated as required. It was suggested, in discussion with the registered manager, that in some circumstances where there is a complex issue to address the action plans could be developed in a little more detail. However, the plans in their current form and detail are well tailored to the needs of the individual and provide a good reference for care and support. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 11 Service users are supported to make decisions affecting their daily lives and are enabled to participate in the day-to-day running of the home. Where limitations occur these principles are discussed through the multi-disciplinary team and with the service user. The home has information available regarding advocacy services and regular resident meetings occur. Service users are assisted to manage their own finances and the home does not take an appointee role with regard to managing individual’s finance. In discussion, residents confirmed that they can take an active role in the running of the home stating that there are opportunities to attend resident meetings and that issues such as menus, trips and activities are discussed. The home has a suitable risk management structure enabling residents to take responsible risks. Risk assessments are completed for all individuals providing detail to enable staff to minimise risks and are regularly reviewed. All information is maintained in a confidential manner. Records and documents are securely managed and staff have an awareness of confidentiality issues. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Service users have opportunities for personal development and to take part in meaningful activities. There are a range of leisure activities available and residents are enabled to be part of the local community. The rights and responsibilities of individuals are recognised and visitors are welcomed into the home. A healthy, balanced diet is provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users have access to and opportunities to take part in a range of activities, both recreational and therapeutic. The sister home, The Hailey, has an integrated day centre, which provides a number of sessions aimed at developing personal and daily living skills as well as other meaningful activities such as arts and crafts sessions amongst others. Staff work with residents on an individual level assisting in letter writing and other skills such as budgeting, use of public transport, etc. Some service users attend external centres and resources including the Shaw Trust work scheme, local colleges, the Community Mental Health Centre OT department and mens/womens groups. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 13 The home has an activities programme in place providing time for staff and service users to participate in table tennis, darts, board games and other leisure activities. Many service users access the local town and facilities independently or with support as required. The home also organises regular trips out, especially throughout the summer months. Visitors are welcomed into the home at all reasonable times and there is adequate space for people to meet in private should they wish to do so. Service users are enabled to maintain and establish relationships with others. The home has a full-time and a part-time cook. Service users are consulted in the process of planning menus. Menu records show that a healthy, balanced diet is provided and residents confirmed that there are choices at all mealtimes and that the quality of food is very good. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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, 19 and 20. Service users receive personal support in the way that they prefer and healthcare needs are met. Medication systems are well managed and administered appropriately. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff in the home ensure that service users who require personal support receive it in a manner that meets their needs and requirements. Service user plans adequately address personal care needs and staff spoken to demonstrated a good understanding of individual care needs and the principles of care. Residents confirmed that they can determine their daily routines and are ably supported by the staff team. The home ensures that residents have access to healthcare professionals and are supported, where required, to attend appointments and consultations. Complementary healthcare services such as chiropody and dentistry are offered on a regular basis. The home has established links with the local community mental health team and other healthcare professionals. The home has well-established and maintained medication systems. Staff are provided with competency based medication induction training and attend additional external training before administering medications. The registered manager routinely reassesses the competency of staff in this area. Medication records were examined and were well kept and up to date. Storage facilities The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 15 are adequate and suitably sited. The home manages the storage and administration of controlled drugs satisfactorily. Service users, where assessed, are supported to manage their own medication. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The home has an adequate complaints process in place. Residents are protected from forms of abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear and effective complaints process in place, which is accessible to residents, staff and visitors. There is a record of complaints in place and no complaints have been received since the last inspection. Service users stated that they feel able to approach the staff, manager and owner and knew what to do if they had a complaint or concern. Some service users mentioned that they raise issues of note at resident meetings. The home has adequate policies and procedures in place relating to issues of abuse and adult protection. Staff are provided with induction and formal training in this area and demonstrated a satisfactory understanding of pertinent issues in this respect. There have been no adult protection concerns raised since the last inspection. The registered manager demonstrated a good understanding of her responsibilities under relevant legislation. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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 and 30. The premises are comfortable, homely and well-maintained. The home is clean and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The responsible individual has invested in updating and developing the premises. A large part of the home has been completely renovated providing new bedrooms and communal space. The laundry and kitchen have also been completely updated. There are also plans to work on the gardens. The service, despite its size, is homely and comfortable providing sufficient space throughout with all necessary facilities. It was reported that the premises meet all the requirements of the fire and environmental health departments. The home was maintained to a good standard of cleanliness throughout providing a well ventilated and bright environment. The laundry area is well appointed and policies and procedures are in place to ensure the control of infection. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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, 33, 34, 35 and 36. Staff have clear roles and responsibilities and undertake NVQ and additional training. There are adequate numbers and skill mixes of staff on duty at all times. The home’s recruitment processes are satisfactory. Staff receive appropriate levels of support and supervision. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All staff receive a job description on appointment, which is reviewed as required. Staff spoken to had a good understanding of the roles and responsibilities of all involved in the running of the service. The registered manager effectively delegates duties and is supported by a deputy manager. Service users stated that they have positive relationships with all staff members and feel appropriately supported. The home actively promotes NVQ training for staff and 12 care staff have achieved NVQ level 2 or above. In addition to this 2 of the domestic staff have achieved their NVQ level 1 in housekeeping. All new staff are expected to undertake NVQ training. Through discussion with staff it was clear that good principles of care are understood and competency in all aspects of working within a care home setting. There are adequate numbers of staff on duty at all times. Throughout the day the team of care staff are supported by other auxillary staff including domestics, a cook, laundry and administration staff. The manager is on duty The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 19 throughout office hours along with the deputy manager. There is a minimum of 5 care staff on duty throughout the day and 3 waking night staff. A number of staff files were viewed at random, all of which demonstrated that satisfactory recruitment processes are in place. All necessary checks had been completed including CRB and POVA. All files had two written references, proof of identity and completed application forms along with all other relevant documentation. The home has a well-established supervision structure in place and staff receive 1:1 sessions at least every two months. Staff reported that they feel supported and, along with the formal sessions, the home has a good culture of peer and managerial support. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. The home has an experienced and well qualified registered manager. There is a positive ethos in the service. There is evidence of quality assurance and future development, although aspects of this process need to be strengthened. The health, safety and welfare of service users is promoted. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in post for a number of years and has achieved her Registered Managers Award. She demonstrated a clear sense of the development of the service, it’s aims and objectives. The registered manager has continued to update her own training needs. There is a positive and collaborative atmosphere in the home, with staff and service users commenting about the friendly and supportive approach. The manager enables staff to develop skills through the delegation of duties and support. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 21 It is evident that there is a focus on the development of the home, which in recent times has included substantial works to improve the environment. Service users stated that the responsible individual is approachable and spends time in the home talking with service users and staff. The service now needs to develop measurable and accountable quality monitoring processes including providing monthly monitoring reports to the Commission covering satisfaction of stakeholders, auditing of records and discussion with staff amongst other issues. The organisation should also complete service users satisfaction questionnaires, compiling the outcomes in an annual report including action plans for improvement. Refer to requirement 1. A range of documentation and records were examined relating to health, safety and welfare. All information was up to date and all service checks including gas, fire and electrical services. The home has developed environmental risk assessments and it was reported that all maintenance work is promptly completed. There are adequate policies and procedures in place ensuring safe working practices and staff are provided with all necessary induction and mandatory training. It was reported that the home complies with all relevant health and safety legislation. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X X 3 X The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 23 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 YA39 Regulation 24, 26 Requirement To develop robust and accountable quality assurance processes including monthly monitoring reports completed by the responsible individual and service user satisfaction questionnaires contained within an annual report. Timescale for action 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA35 Good Practice Recommendations To continue to update mandatory training for all staff including intermediate food hygiene training for cooks. The Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 24 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 Wimbledon DS0000058572.V304881.R01.S.doc Version 5.2 Page 25 - 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. 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