Inspection on 30/04/08 for Wantsum Lodge
Also see our care home review for Wantsum Lodge for more information
This inspection was carried out on 30th April 2008.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Wantsum Lodge provides a very comfortable, homely environment for all of the residents and has the adaptations and equipment to suit their individual and collective needs. Residents expressed that they are well cared for and comfortable in the home. They confirmed that staff are always available to help them when needed and are very kind and caring. One resident said, "Staff were especially kind when I first came in". Another said, "They`ll do anything for you". A visiting relative said, "They`re marvellous here".A staff member said how much they enjoy working at the home and all staff were seen to have developed good relationships with the residents and visitors to the home. Residents appreciate the daily contact they have with the acting manager, one resident said he "is very good" and went on to say that they know they can talk to the manager at any time and they are confident if they have a problem, he will sort it out. Residents enjoy their mealtimes, which are relaxed and unhurried. The dining room provides a congenial setting and every resident spoken to on this occasion said that the food is very nice and they always have a choice. Those wishing to eat in their bedrooms are supported to do so. One staff member said, "The food is brilliant here." Catering staff know residents` food likes and dislikes and make sure that alternatives are provided if anyone does not like either of the two main meal choices. Staff work well together and there is a good team spirit. All staff work in a way that shows respect for residents` dignity. Care staff have a good understanding of residents` needs and spend time talking with them and listening to them. Housekeeping staff take a great pride in their work and keep the home clean and fresh smelling, which makes for a homely environment. All toiletry items are attractively arranged in bedroom ensuites, or on shelves over washbasins, demonstrating respect for residents` dignity.
What has improved since the last inspection?
The home continues to be redecorated and refurbished throughout. Since the last inspection, nine new single bedrooms with ensuite facilities have been created, with an additional lounge and bathroom. These have been completed to a high standard and provide a very pleasant environment for the residents. The way the home assesses people`s needs has been improved and is currently being further developed. When this is completed it should provide all the information needed to decide if the home can meet an individual`s needs. The care planning system has been reviewed and changes are currently being made to make them more individual to each person. Improvements have been made to the laundry and procedures tightened to improve safety for staff and reduce the risk of spread of infection in the home.
What the care home could do better:
This home has demonstrated that it has some strengths and there are some good aspects to the service it provides. It now needs to continue, develop andsustain the improvements started, so that residents` health, safety and best interests are fully promoted and protected. The new acting manager has already established good working relationships with residents, staff and visitors. He is making progress in bringing about some improvements, but recognises that more changes in practices are still necessary to ensure residents` welfare. Most of the areas of weakness identified at this inspection have already been recognised and the acting manager has started work to address them. These include: The home`s statement of purpose and service users` guide are to be revised to make sure that people have up to date information. The acting manager has given assurance that the new assessment and care plan documentation will be fully completed. This will then provide more information about each person, to make sure that their health care needs are identified and met, with actions specified to make sure that any risks are reduced. Staff are completing daily records for each resident, but more information is still needed to provide a full and clear picture for each day. This is important to protect residents, by showing how care is given and helps to make sure that things do not get overlooked. Some of the less able residents would benefit from being given more opportunities for activities to stimulate them and prevent boredom. The acting manager has identified a need for a designated activities person and it is recommended that this be put into place. A key worker system is to be developed and a more `person centred` approach is being introduced. Each resident will then have a member of staff they will know has a prime responsibility for making sure they are looked after in all respects. The acting manager is also going to pursue training for staff to support residents with visual loss to ensure they continue to be as independent as possible. The acting manager is going to make sure that the bath hot water supply is checked to see if the taps are thermostatically controlled with cut off valves to reduce the risk of scalding. This would ensure that residents are kept as safe as possible. The new `wet room` has no form of heating and residents might become cold while they are showering. The acting manager said he would look into this. It is recommended that a sluicing facility be provided for the cleaning of commode pans. This should be to the specification of the report from the Health Protection Agency specialist nurse. It is also recommended that a separate hand washbasin be provided in the laundry to reduce safety risks for staff and help prevent the risk of spread of infection.Wantsum Lodge DS0000023619.V361120.R01.S.doc Version 5.2 Page 8Staff files need auditing to make sure they contain all the necessary information. This is something that the law requires to show that staff have been properly vetted to protect the residents living in the home. The acting manager indicated that this would be done by 31st May 2008 Induction training for new staff and supervision for all staff is to be formalised to make sure that they have the relevant training and support from management and senior staff. This will help ensure that residents can have confidence that the staff are suitable to care for them. The home`s quality monitoring processes are to be strengthened and developed to gain the views of everyone with an interest in the home. This can then be used to ensure they influence any future changes made. There are good systems in place to safeguard residents` personal monies. The acting manager is going to make sure that residents can have access to their own money at all times. Staff have attended a number of training courses within the past year. However the management must make sure that courses related to health and safety, for example, moving and handling training, are regularly updated so that safe working practices are promoted and residents` safety is protected.