Inspection on 15/01/09 for The Wimborne Care Home

This inspection was carried out on 15th January 2009.

CSCI found this care home to be providing an Excellent service.

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

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Wimborne Care Home 179-181 Wimborne Road West Stapehill Wimborne Dorset BH21 2DJ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Gloria Ashwell     Date: 1 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: The Wimborne Care Home 179-181 Wimborne Road West Stapehill Wimborne Dorset BH21 2DJ 01202877614 01202870387 the.wimborne@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Grandcross Limited(wholly owned subsidiary of Four Seasons Health Care Ltd) care home 29 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: One named person (as known to CSCI) in the age range 40-64 may be accommodated to receive nursing care in the category PD. One person in the age range 40-64 may be accommodated to receive nursing care in the category PD. Date of last inspection Brief description of the care home The home is registered to accommodate up to 29 service users in the category of OP (older people) for personal care including nursing care. It is a purpose built care home, with residents accommodation on the ground and first floors, with a passenger lift available to provide step-free access to all registered parts of the premises. There are 21 single and 2 double bedrooms with en-suite hygiene facilities and a further 2 single bedrooms without en-suite facilities. Communal areas include a lounge, conservatory and dining room, hairdressing salon, toilets close to the day areas and bathrooms with assistance equipment for people with impaired mobility. Management offices are on the Care Homes for Older People Page 4 of 25 Over 65 29 0 Brief description of the care home second floor. Vehicle parking spaces for staff and visitors are at the front and side of the house. There is a secluded patio and garden area to the rear of the premises. Fees are charged weekly; the fee range quoted by the manager at the time of inspection was (per person) from £750, with additional costs for Funded Nursing Care. Up to date information on fees can be obtained from the service. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was a statutory inspection required in accordance with the Care Standards Act 2000. This inspection was carried out by one inspector, but throughout the report the term we is used, to show that the report is the view of the Commission for Social Care Inspection. This inspection was unannounced; the inspector arrived at 10:15 on 15 January 2009, Care Homes for Older People Page 6 of 25 toured the premises and spoke to residents, staff, observed staff interaction with residents and the carrying out of routine tasks and together with registered manager Mrs Dunbar discussed and examined documents regarding care provision and management of the home. During the inspection, particular residents were case tracked; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same residents were examined and the residents spoken with. In advance of the inspection an Annual Quality Assurance Questionnaire was completed by Mrs Dunbar and returned to the Commission; the information it contained has been used to inform the findings of this inspection. During this inspection compliance with all key standards of the National Minimum Standards was assessed. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The comprehensive admissions procedure enables prospective residents to make informed decisions about moving to the home and ensures that only residents whose needs can be met by the home are offered places there. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. Evidence: All new admissions are carefully planned to minimise distress to the new resident and to ensure that staff have available all relevant information in order that they can properly meet the persons needs. The records of a resident admitted since the last inspection, and of a person soon to be admitted included comprehensive and clear details of pre admission assessment Care Homes for Older People Page 10 of 25 Evidence: carried out by the registered manager while visiting the prospective residents at their previous addresses. In advance of making the decision to enter the home prospective residents or their representatives visited the home to view the premises and meet residents and staff. Following pre admission assessment of each prospective residents needs and circumstances the home writes to them confirming the agreement and ability to provide accommodation and care. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and social care needs of residents are met by suitably trained staff; doctors and other professionals visit as necessary and residents receive the medicines they have been prescribed. Care is planned to promote the individuality of each resident and to provide staff with sufficient information to enable the needs of each person to be competently and sensitively met. Prescribed medication is properly managed promoting the good health and well being of residents. Residents are treated with respect and their privacy and dignity are promoted at all times. Evidence: The care records of 6 people who live at the home were examined and found to Care Homes for Older People Page 12 of 25 Evidence: contain risk assessments forming the basis for up to date, clear and comprehensive care plans and daily records describing the care of each person. There was evidence that individual residents or their representatives had been involved in the development and review of planned care provision. The home is constantly developing and enhancing the processes for care provision, to ensure that residents receive individual care, in accordance with best practice determined by modern research and expert guidance e.g. the home has recently introduced a Clinical Governance Committee to review clinical procedures and continually seeks expert guidance from specialist organisations to gain information on particular aspects of need e.g. understanding dementia, managing challenging behaviour.Medicine handling is carried out by staff trained in this work. Residents wishing to do so can manage their own medicines in accordance with a risk assessment process and a number of the currently accommodated residents do manage their own medicines. Medication records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts. To promote good practice it is recommended that handwritten changes or additional entries to the medication records be signed and dated by the writer and countersigned by another competent person to show that the changes accord with the prescribers direction. Residents confirmed that felt they are treated with respect and that their dignity is preserved by the staff at the home. Staff were observed to knock on doors before entering and carrying out personal care tasks in a discrete and respectful manner. Residents confirmed that they were called by the name they wished to be known by. Nurses have received training in end of life care and the care of dying residetns accords with the Gold Framework established to ensure provision of a high standard of care. There was evidence of provision of excellent standards of nursing and social care, by well motivated, kind and competent staff. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to engage in social and recreational activities and are encouraged and supported to pass the time according to individual preference. A choice of menu is provided and meals are nutritional and appetising. Evidence: The home employs an Activities Coordinator who arranges a weekly programme of activities including seasonal events and celebrations, visiting entertainers and local excursions; since the last inspection the home has obtained a minibus which is often used e.g. on the day preceding the inspection a trip to the local Castle Point shopping centre took place. On the afternoon of the day of this unannounced inspection there was to be a musical entertainment entitled Those Were The Days. The home publishes a periodic newsletter entitled Home News, providing information about the ongoing development of the service, staff changes and articles of general interest. Visitors can attend at any time and those spoken to during the inspection said they are always made to feel welcome and placed at ease by the staff and all said they were Care Homes for Older People Page 14 of 25 Evidence: particularly impressed by the cheerful friendliness of the staff. A visitor who attends the home every day said there are masses of activities going on all the time. Residents believe they are shown respect and properly treated; comments made during the inspection included They are all so kind. Meals provide good nutrition and are liked by residents. Most residents take meals in the large dining room on the ground floor, others receive them in their bedrooms. Residents said they have plenty to eat and the quality of meal provision is good. Staff were seen seated next to residents while unhurriedly assisting them to eat and drink. Dining tables were nicely set with pleated napkins and lunch attractively served with good menu choices. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and are confident their complaints are listened to. Induction training, including the Protection of Vulnerable Adults, is provided to all staff to ensure service users are safeguarded against risks of abuse in its various forms. Evidence: Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home has a complaints policy and procedure. Since the last inspection no written complaints have been received and there have been no allegations or investigations regarding the safeguarding of vulnerable adults. All staff receive training on the safeguarding of vulnerable persons and the home has a written policy and procedure for the protection of vulnerable adults. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, clean, well equipped and suited to the needs of residents. Evidence: The home is well maintained both inside and out. The gardens are attractive, safe and easily accessible for residents. There is a continuous programme of repair, renewal and refurbishment to ensure the premises and furnishings remain comfortable, well maintained and safe. A hairdressing salon has been recently provided. The building complies with the requirements of the local fire service and environmental health department. All areas of the home were clean and there were no unpleasant odours. There are bathrooms equipped for the use of persons requiring assistance. The laundry room is equipped with equipment compliant with hygiene requirements, including a sluice cycle washing machine. Adequate supplies of clean linen were seen to be available. Care Homes for Older People Page 17 of 25 Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. Staff are kind, suitably trained and experienced and residents are confident they are in safe hands. Evidence: The home is at all times in the charge of an experienced person and staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. The records of 2 recently employed staff members were examined and found to contain all essential information including written references and evidence of identity. Criminal Records Bureau (CRB) disclosures are obtained for all staff in advance of employment. The home has developed and implemented a comprehensive induction process for all Care Homes for Older People Page 19 of 25 Evidence: staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities. Clear records of staff training, supervision and appraisal are kept, indicating that all staff receive training appropriate to their needs. The provider organisation requires all staff to undertake and as necessary update training in core subjects including fire safety, moving and handling, food hygiene and emergency aid. To ensure the highest levels of competency staff are encouraged and supported to receive training in additional subjects relevant to the care they provide e.g. understanding dementia, end of life, nutrition and wound care. All staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the training provision. Residents and visiting relatives spoken with during the inspection indicated satisfaction with all aspects of service the home provides, and without exception said that the most impressive aspects were the cheerful friendliness and quiet competency of the staff. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is properly managed and maintained in the best interests of service users. Evidence: The registered manager is Mrs Dunbar; she holds the Registered Managers Award and is an experienced nurse and manager, well respected and liked by her staff and by residents, their relatives and representatives. Recently the home has appointed a deputy manager to support Mrs Dunbar and to lead the nursing and care team by working with them on the floor. Prior to this inspection the home completed an annual quality assurance assessment (AQAA) identifying what they feel they do well, what they have improved during the past 12 months and their plans for improvement over the next twelve months. The provider organisation and the home have extensive and thorough processes for Care Homes for Older People Page 21 of 25 Evidence: quality assurance monitoring including weekly reports of wound care and all accidents and incidents to identify any trends or high aspects of risk. With the exception of safekeeping small amounts of money for some residents for which records and receipts are kept of all transactions, the home does not manage the finances of residents. Residents who are unable to undertake this responsibility personally have nominated relatives, friends or other representatives to do this on their behalf. There are good processes for staff recruitment, induction and formal supervision. Staff trained in First Aid and health care are on duty in the home at all times. The use of bedrails by some residents is in accordance with assessment, care planning and relevant Health & Safety guidance. Portable bedrails are not used; the home uses only rails permanently fixed to beds by the manufacturer, thereby ensuring they are always properly secured and reduce risks of accident. The home has a written assessment of the Health & Safety of the premises and working practices and keeps records of fire safety checks and tests, including drills and staff training, and has developed a fire safety assessment and escape plan making specific reference to the currently accommodated residents. Arrangements are underway to establish an emergency plan to ensure the care and accommodation of residents in the event of a major event involving evacuation of the home. During the inspection a sample of records regarding equipment servicing and maintenance were examined and found to be in good order. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 Where there are handwritten changes or additional entries to the medication records these should be signed and dated by the writer and countersigned by another competent person to show that the changes accord with the prescribers direction. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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