Inspection on 07/09/09 for Wansbeck Care Home

This inspection was carried out on 7th September 2009.

CQC 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

Wansbeck Care Home 21/11/08

Wansbeck Care Home 16/10/07

Wansbeck Care Home 21/11/06

Wansbeck Care Home 04/12/05

Wansbeck Care Home 08/08/05

Wansbeck Care Home 19/01/05

Wansbeck Care Home 14/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wansbeck Care Home Church Avenue West Sleekburn Choppington Northumberland NE62 5XE     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: Anne UrwinBrown     Date: 0 7 0 9 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. that people have said are important to them: They reflect the things 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 27 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Wansbeck Care Home Church Avenue West Sleekburn Choppington Northumberland NE62 5XE 01670817173 01670855269 wansbeck@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Care Homes Limited care home 40 Number of places (if applicable): Under 65 Over 65 0 40 dementia old age, not falling within any other category Additional conditions: 35 0 The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 40 Dementia Code DE, maximum number of places 35 Date of last inspection Brief description of the care home Wansbeck Care Home comprises of a purpose built residential unit for older people adjoined to an older building, which was originally a vicarage. The older part of the Home contains the ancillary services such as the laundry, kitchen, staff rooms and office facilities. The home is situated close to local shops and facilities in West Sleekburn. There is level access to the front entrance of the home, which is located beside the car parking area. Wansbeck Residential Care Home caters for 40 service Care Homes for Older People Page 4 of 27 2 1 1 1 2 0 0 8 Brief description of the care home users, 35 of whom may have a dementia, 5 of whom may have dementia but are aged under 65 years of age and 5 older people not falling into any other category of need. Fees range from £419.08 to £466.14 per week. There is a Statement of Purpose and Service User Guide in place to inform prospective residents and their relatives about the service provided at Wansbeck Care Home. Copies of previous inspection reports are available in the home. Care Homes for Older People Page 5 of 27 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 stars. This means that the people who use the service experience excellent quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Care Homes for Older People Page 6 of 27 Before the visit we looked at: Information we have received since the last visit. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The Visit: An unannounced visit was made on 7 September, 2009. The visit lasted a total of seven hours. During the visit we: Talked with people who use the service, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe and comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the care home does well: What has improved since the last inspection? The provision of activities and outings has been reviewed and people now have more social opportunities and are able to go on outings more often. Care Homes for Older People Page 8 of 27 The homes public rooms have been redecorated and provide comfortable, homely and attractive areas in which people can spend time. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 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 10 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good assessments are carried out before people are admitted to Wansbeck Care Home to ensure that their needs can be effectively met. People have plenty of information about the service to help them make an informed choice about living at Wansbeck Care Home. Evidence: The homes Statement of Purpose and service users guide is available and has been updated within the last year to reflect changes in management of the home. copies of these documents are available at the home. The care records for four service users were looked at during the inspection. Each person had a detailed assessment completed prior to their admission to the home to ensure that their needs can effectively be met. The information from these assessments is used in the individual care plan. Care Homes for Older People Page 11 of 27 Evidence: More detailed assessments are carried out once the new service user has come into the home. These include assessments of risk, of nutritional needs, social needs, moving and handling needs and of behavioural needs. A dependency rating scale is also completed. Skin care assessments are also carried for those at risk of developing pressure sores. Good information was available in each of the records seen. Care Homes for Older People Page 12 of 27 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. There are good systems in place for ensuring that each person has an individual plan that provides clear information about their needs and how these are met. Evidence: Each person has a individual plan that identifies their needs and how these are met by staff. A comprehensive range of assessments is completed to identify each service users current health, personal and social care needs. This information is used to develop and update individual care plans. Service users are involved in planning their care and have a key worker who monitors and helps to update care plans. All the plans seen provided good information about peoples physical health, personal hygiene, continence, memory and cognition, skin integrity, communication, social and spiritual needs. The recording was detailed, specific and personalised to the persons requirements. The plans demonstrated care and support to be provided by staff and what the person can do independently. There were also good examples of plans that showed how risks Care Homes for Older People Page 13 of 27 Evidence: to the person are managed or minimised. Records showed that risks are managed positively to help people using the service lead the life they want. Any limitations on freedom and choice are always in the persons best interests. All risks are agreed and fully documented and reviewed on a regular basis. People using the service are involved as far as possible to take an active part in the care planning process and plans are person centred and focus on the persons strengths and personal preferences. During the inspection people were relaxed and two people said they received a good service. One person said I am really happy here, the staff are great and I really like the home. Staff showed during the inspection that they were aware of the need to treat people with respect. Equality and diversity is included in staff training and within induction training for new staff. Medication policies and procedures are in place to guide staffs practice. Samples of medication administration forms were seen and these were in good order. Staff giving out medicines have completed appropriate training. Arrangements for the storage of medicines are satisfactory. There are regular checks carried out by the manager and deputy manager of medication administration records against stocks of medicines. Good systems are in place for ordering and disposal of medicines. Care Homes for Older People Page 14 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to make choices about their routine and lifestyle. Social, emotional, cultural and recreational needs are met in a way that suits individuals. Evidence: Daily living routines are organised to suit peoples individual needs. Good information about social care needs is recorded in their records to show peoples preferences about activities and routines are identified. There are good opportunities provided for people to take part in planned activities and regular outings that meet the social needs of the people living in the home. Weekly diaries are made up and everyone has a copy in their rooms to tell them what activities or outings are on offer. In addition care staff remind individuals of what is happening on a daily basis. Every month an entertainer visits, there is a big breakfast which families are invited, a coffee morning and a pies and bingo session. Two people living in the home said that they enjoyed the opportunities to join in arranged activities. They said that there had plenty of choice about what they want to do. The residents said the food was very good and alternatives were available at each Care Homes for Older People Page 15 of 27 Evidence: meal time. The menus provide a good variety of food that takes account of healthy eating principles, while still offering a choice. The kitchen is well organised and stocks of food and storage arrangements are satisfactory. One of the fridges was not working at the time of the inspection, however this was replaced the next day. All kitchen staff have undertaken appropriate Food Handling training. Drinks are provided regularly through the day and there is a varied selection offered. There was tea, coffee, or cold drinks of either juice or milk. There were biscuits provided. Fruit was also available. People have visitors at any time and are able to use their own rooms, or the lounges to see them. One relative said that she is very happy with the care and support provided by the staff. People said they were happy with the arrangements for visitors. Care Homes for Older People Page 16 of 27 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 are protected by the good systems in place at Wansbeck Care Home for dealing with complaints and safeguarding. Evidence: There is a written complaints procedure available that provides clear information about how to make a complaint and the action that is taken to deal with complaints. Good systems are in place to record complaints, their investigation and outcome. Two people said that they felt able to raise any concerns or complaints with the manager or the staff and they were satisfied that these would be taken seriously. Four complaints have been made in the past year and there were good records kept of the investigation and outcome. There are written procedures for dealing with safeguarding matters. No safeguarding referrals have been made since the last inspection. The manager said that staff training is ongoing to ensure that all staff members have a good understanding of safeguarding procedures. At the time of this inspection 83 of staff have completed training and other staff are scheduled for the week following the inspection. There is a policy in place for whistle blowing so that staff can feel confident that if they had any concerns they would be listened to and the information would be treated in confidence. Good systems are in place for dealing with money held on behalf of people living in the home. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 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. Wansbeck Care Home provides a comfortable, well maintained and decorated accommodation that suits the needs of the people living there. Evidence: The home is in a quiet area not far from the centre of the village and is near the village pub. The grounds were tidy, safe, attractive and accessible. At this inspection it was homely, clean, well maintained and odour free. The sitting and dining rooms are well furnished and decorated to a high standard. The home is accessible and has a range of equipment and aids to suit the needs of the people living there. Good systems are in place for infection control and staff training has been provided. Maintenance records are kept that show prompt attention is given to addressing any repairs or refurbishment needed. The manager said that there is a planned programme of refurbishment and redecoration in place. Two people in one sitting room were in chairs that did not provide sufficient support. The manager agreed to look into having assessments carried out to ensure appropriate seating is provided. The worktop in the dining room on the first floor is damaged and stained and the manager said she has mentioned the need to replace this to the estates manager. Care Homes for Older People Page 19 of 27 Evidence: At the last inspection it was identified that the lighting in all the corridors is rather dim. No improvements have been made to the lighting since then. There were concerns that some service users may find that this increases the risk of falls in the home and impacts on the quality of peoples lives. The manager said that this work is planned as part of the current of refurbishment plan. Bathrooms and toilets are equipped with appropriate aids and adaptations to suit the needs of the people using the service. Bedrooms are decorated and furnished to a good standard and people have brought in items from their previous homes to personalise their own space. Staff showed that they were aware of good health and safety practice during the inspection. During the inspection people said that they were very happy with the accommodation provided and with their own rooms in particular. One person said that I am very comfortable here and I like my room, which has a good view. Everywhere is very clean. Some of the towels and linen in the linen cupboard was worn and shabby and this was discussed with the manager who indicated that this will be replaced. The laundry was clean, organised and well equipped. There is sufficient laundry equipment available. Infection control procedures are in place and staff training is organised. Care Homes for Older People Page 20 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient appropriately skilled and trained staff to meet the needs of the people living in the home. Evidence: At the time of the inspection the Deputy Manager, one senior carer and four carers were on duty. The manager said that this is the usual staffing level at present, but that she is currently recruiting for another member of staff. The rota shows that the present staffing levels are adequate to meet the needs, activities and wishes of individuals living in the home. There were also sufficient domestic and catering staff. Two people living in the home said that there were always enough staff and they were very kind and supportive. The manager said that existing staff members work additional hours to cover sickness and annual leave. Staff said that there is good communication within the staff team. They also said that there are enough staff working in the home to cover the rota and provide appropriate support to the people living in the home. Good staff recruitment procedures are followed for appointing new staff that take account of equality and diversity principles. Records showed that recruitment procedures are followed and that emphasis is placed on the importance of carrying out appropriate checks including reference, Criminal Records Bureau, employment gaps Care Homes for Older People Page 21 of 27 Evidence: and Protection of Vulnerable Adults list. Staff have good training opportunities to make sure that they can meet the needs of the people living in the home. Training is focused on achieving better outcomes for people using the service. Staff said that they get enough training opportunities and are well supported by the senior staff. Individual training records are in place and are kept up to date. At the time of this inspection the manager said that only eight out of twenty care staff have completed national qualifications in care. This is due to changes in the staff team and four staff are currently working towards completing their awards at Level 2 and two senior staff are almost completed Level 3. Staff meetings are held regularly and a staff supervision programme is in place. Staff said that they are able to raise issues and concerns and their views are taken seriously. They said that they feel very well supported by the manager. Care Homes for Older People Page 22 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a well managed home and are encouraged to put forward their views. Evidence: The manager is experienced and currently completing qualifications in management. She has been appointed to this post within the last few months, having previously managed another home within the group. She has a good understanding of the organisations strategic and financial planning systems and how the business plan for the home is developed and implemented. She has a clear vision of the homes priorities and communicates a clear sense of direction. Equality and diversity, human rights and person centred service delivery are all given priority by the manager. She is well supported by an experienced senior staff team. The manager undertakes regular training that has included equality and diversity. The home has a clear statement of purpose that sets out the aims and objectives of Care Homes for Older People Page 23 of 27 Evidence: the service. There is evidence that the manager and the senior staff team have in place good systems for monitoring practice and compliance with the plans, policies and procedures of the home. Good systems are in place to ensure that the quality of the service is regularly reviewed taking account of the views of people living in the home and other stakeholders, such as relatives, care managers and health care professionals. People are encouraged and supported to retain control of their own money. All transactions relating to money held are clearly recorded and appropriate procedures for managing residents money are in place so that staff are clear about their responsibilities. Systems are in place for auditing the money held. Lockable storage is provided in each persons room so that they can keep money or valuables safely. Health and safety policies and risk assessments are in place and staff receive appropriate mandatory training at regular intervals. Records of training are kept. Regular checks and servicing of fire equipment are carried out and records show staff have received appropriate fire training. Good records are kept of all accidents and there was evidence that these are monitored by senior staff. Care Homes for Older People Page 24 of 27 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 25 of 27 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 19 An audit of bedlinen and towels should be carried out to ensure that worn and shabby items are discarded and replaced. This is to ensure that people have good quality towels and bedlinen available for their use. A review of the current lighting in corridors should be undertaken to make sure that it meets recognised standards. 2 25 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 27 of 27 - 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!