Inspection on 17/05/06 for Wapley Court Care Home

This inspection was carried out on 17th May 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wapley Court Care Home 09/01/06

Wapley Court Care Home 14/07/05

Wapley Court Care Home 15/02/05

Wapley Court Care Home 21/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wapley Court Care Home Kelston Close Yate South Glos BS37 8SY Lead Inspector Melanie Edwards Key Unannounced Inspection 17 May 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wapley Court Care Home Address Kelston Close Yate South Glos BS37 8SY 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) 01454 866840 01454 866841 South Gloucestershire Council Mrs Sally Diane Macauley Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate 32 service users aged 65 years and over requiring personal care only. 9th January 2006 Date of last inspection Brief Description of the Service: Wapley Court is a care home operated by South Gloucestershire Community Care Department. It is registered to provide personal care for up to thirty-two older persons who are aged sixty-five years and over. It is one of eight care Homes belonging to the Council. The Home is of a two-storey design set in its own grounds. It is located in a modern residential area, close to shops, pubs and other amenities. The Home is also close to a main bus route, with services running into Bristol City Centre. The fees charged for staying at the Home are around £438 per week. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Twelve residents and a number of visitors were consulted to find out their views of the Home and the service provided. One care assistant, two duty managers, and the cook were also consulted about their roles and responsibilities, their training needs, and how they assist and support residents. Staff were observed while they were helping residents with their needs. A selection of records that relate to the day-to-day running and management of the Home were inspected. A sample of care records were also looked at in detail. The majority of the environment was seen and the only areas that were not viewed were a small number of resident’s bedrooms. The Home was operating within the required conditions of registration set down by the Commission for Social Care Inspection. The conditions of registration detail the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. These judgments have been made using available evidence including a visit to the service. What the service does well: What has improved since the last inspection? What they could do better: Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 6 Care plans must be more regularly reviewed and updated. This will help demonstrate residents’ needs are being kept under review, and monitored. Meat being stored in a freezer in the kitchen should be stored in accordance with food safety guidance. Specifically cooked meat should be stored on a high shelve and uncooked meats should be stored on the lower shelves to minimise the risk of contamination. The Home should return residents’ medication no longer required to the dispensing pharmacist. This will ensure an accurate record of up to date medication is kept in the Home. 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. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is good. Prospective residents are provided with the information necessary to help them decide if the Home is suitbalbe for them. Residents are satisfied with how their needs are met and there is information demonstrating how needs are assesed. EVIDENCE: A copy of the service user guide and statement of purpose were looked at to find out what information is available for residents and prospective residents about the Home. The aims and objectives of the service, as well as the type of care provided had been clearly stated. The statement of purpose stated how the service intends to meet its aims. There was information written in an easy to understand format, and in pictorial format to assist the reader. There was information included in the guide about the service to be provided, how to make a complaint, and contact information for the Commission for Social Care Inspection. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 9 To find out how residents needs are being assessed three resident’s assessment records were looked at in detail. There was information included in the initial assessments about the physical, communication, social, mobility, and possible needs of residents who are dying. There was also information included about the mobility needs of the residents and how staff should best support them. All of the residents who were asked about how they are helped with their needs spoke very positively about the staff team, and the help that they get to meet their needs. There are no residents currently staying at the Home specifically for intermediate care. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. Residents’ care plans show needs are met, however residents’ plans are not being regularly reviewed and updated. Overall practices for administration, storage and disposal of medication are safe. Also residents feel they are treated with respect and their privacy is maintained. EVIDENCE: All of the residents who were consulted were positive in their views of the care and service that is provided. Examples of comments made by residents included, ‘the home is very good you couldn’t ask for anything more’, ‘I’m quite happy here I’ve got nothing to complain about’, and `they are very good you get what ever you want done’. These comments help to demonstrate that residents feel their needs are being well met, and that they are treated well at the Home. Care staff assisted and supported residents with their needs in a sensitive and polite manner. Staff were observed knocking on residents’ doors before entering their rooms. Staff communicated with residents in a polite and friendly manner. Residents also said that if they wish to make a private call Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 11 they can use a `hands free phone’ and take this into their bedroom for extra privacy. Three resident’s care plans were read to find out how well residents care is being planned and delivered by the Home. There was a range of helpful information written for each resident stating how to support the person with his or her full range of needs. However the three care plans that were inspected had not been reviewed and updated on a regular basis. This is required to demonstrate residents’ health needs are monitored and reviewed. Residents are registered with local GP surgeries. Residents may keep their own GP on admission if they wish. One resident confirmed that they had kept their own doctor when they were admitted to the Home. This is an opportunity for residents to be able to exercise control over their own lives. There is a health record maintained for each resident. This records when residents see a doctor, optician, dentist and chiropodist and the reasons for the referral, and any outcomes, including what treatment was required. There was information in the daily records that demonstrated staff were monitoring and observing the health of residents and call the doctor, if they were concerned about the resident. Residents are also supported by district nursing staff when required to assist them with certain nursing care needs while they are in the Home. To find out if safe medication practices are being carried out the practices and procedures for administration, and storage of medication were checked. Medication supplies are stored in wall mounted secure cupboard in a secure clinic. Three resident’s medication administration charts were looked at. There was a photograph of each resident with his or her chart. This should ensure medication is administered correctly to the resident named on the chart. The administration charts were up to date, legible and in good order. The staff had signed for medication administered, or recorded the reasons for any omissions. All senior staff who administer medication attend regular training to enable them to do this safely. The stock of medication held in the Home was generally satisfactorily organised. However two residents medication that was no longer required from March 2006 had yet to be returned to the pharmacist. This should be done as required, to ensure residents’ medication supplies are kept in good order and can be easily monitored. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 Quality in this outcome area is good. Residents are able to keep close contact with relatives, friends and the community. Residents are also offered a varied and nutritious diet, and can take part in a range of social and theraputic activities. EVIDENCE: Residents can find out about planned activities from a list displayed in the entrance hall, which gives details of the activities that are available for them. There are allocated staff responsible for organising social activities and these include bingo, fish and chip suppers, trips to a local theatre, and trips to areas of interest in the community. Several residents spoke positively about the activities that they can take part in. One resident said they enjoy the Tuesday night social evenings that take place each week. Residents can access community transport and local taxi services. Staff supported one resident during the inspection to book a taxi to visit a friend who lived nearby. During the inspection a number of visitors came to see friends or family at the Home. Staff were warm and friendly in manner to visitors. All residents consulted were very positive about the food served at the Home. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 13 There is a reasonable sized dining room, and residents can choose which table they use, helping them to exercise choice in their daily lives. Tables were covered with linen tablecloths and there were table settings at each table. The Home operates a rotating menu. The menu choices were checked and were all well balanced, traditional and varied. Residents also said that they could make suggestions to the cook of meals they would like to have. The daily menu is also written on a large notice board in the dining room to assist residents. A portion of the lunchtime meal was sampled; this consisted of a choice of braised steak in gravy, with mashed potatoes, cabbage and carrots, or salmon salad. There was a choice of homemade rice pudding, ice cream or fresh fruit for dessert. The meal was tasty, and well cooked. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. Residents are confident their complaints will be taken seriously and acted upon. The Home also has systems in place, and practices and procedures to protect residents from abuse. EVIDENCE: There is a copy of the complaints procedure on display in the reception area. This includes up to date contact information for the area office of the Commission for Social Care Inspection. A copy of the complaints procedure is included in the service user guide. The complaints book record was reviewed and there had been no complaints recorded since the last inspection. All of the residents and visitors said they felt very able to speak to any of the staff if they had any concerns, and they said staff would respond very promptly and take their concerns seriously. Residents are protected from the risk of harm or abuse by staff following the South Gloucestershire Council’s `protection of vulnerable adults from abuse’ policies. There was also evidence in the staff training records that staff attend training on the protection of vulnerable adults from abuse, as well as whistle blowing procedures to further ensure residents are protected. The staff also demonstrated in discussion a good understanding of the topic of ‘protection of vulnerable adults from abuse’ and how to protect residents in their care. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,25,26 Quality in this outcome area is area is good. The Home looked satisfactorily maintained, clean and tidy and suitable for residents needs. EVIDENCE: Wapley Court is a purpose-built Home located close to private houses and a short distance from the local town and nearby to bus stops. This helps ensure residents can be a part of the community. The Home is wheelchair accessible; and there is a lift servicing the upper floor. The Home is two-storey building, and residents have access to all areas. There are a range of adaptations in place to assist residents and visitors with disabilities throughout the Home. The Home has a dining area and four separate lounges. One lounge leads onto a veranda with views over the garden. Residents were observed sitting in the lounges and dining room, looking relaxed and comfortable in their environment. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 16 The bedrooms are situated on the ground and first floor. The Home is set in its own grounds. The gardens are satisfactorily maintained and there are patio seats where residents can sit. All bathrooms include specially adapted baths to assist residents who may have reduced mobility. Toilets are situated in readily accessible parts of the Home near to communal areas and bedrooms. The bathrooms and toilets were clean, and were well stocked with hand towels and soap to help minimize risk from cross infection in the Home. The Home looked clean and tidy in all areas that were viewed. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Residents are cared for by competent staff who are provided with training to fulfil their roles and responsibilities .The recruitment procedures could not be checked on this inspection. EVIDENCE: The recruitment procedures were not checked on this inspection. South Gloucestershire City Council keeps staff recruitment records at its head office. Inspectors from the Commission for Social Care Inspection carry out periodic checks of the records to verify if required ‘safety checks’ are being carried out when employees are recruited. The training records of three members of staff were checked to see if staff are provided with a range of training opportunities These consisted of three care staff and one manager. All of the staff concerned had attended recent training and update session on topics and matters relevant to the needs of residents in the Home. Staff also spoke positively about the range of training and development opportunities that they are able to attend. Residents also now benefit from a new training plan that has commenced for some of the care staff and managers in tasks that extend their roles. For example, some staff have been trained in taking blood pressures, and the monitoring of the sugar levels of residents who are diabetic. This means residents will not always have to rely on nursing care for these needs to be met. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 18 There were a range of notices and information related to training opportunities displayed in the office. Residents’ benefit from being cared for by wellmotivated staff that undertake regular training and updating. The staff duty record for the previous two-week period for day duties was checked to find out if there is sufficient staff on duty to ensure residents needs are met. There are minimum of three care staff on duty as well as at least one manager working during the day with extra staff available at busy periods Based on evidence from the inspection residents needs are being well met by the numbers of staff on duty. There has also been new care staff recruited since the last inspection. Staff reported positively on recent staff recruitment saying this has improved the consistency of care for residents. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Overall quality in this outcome area is good. Residents benefit from an experienced and well-trained management team. Residents health and safety is protected. Residents are cared for by staff who have a good understanding of their roles and responsibilities and are well supervised in their work. EVIDENCE: As was applicable at the last inspection, the management team consist of the Registered Manager, Mrs Sally Macaulay and three duty managers, who have many years of experience between them. Managers are working towards obtaining various management awards. Mrs Macaulay has completed National Vocational Qualification in care award Level 4 in Management, holds a Registered Manager’s award. She has also been a registered nurse working with people with learning difficulties. Residents said that they found Mrs Macauley to be a very approachable manager. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 20 The staff reported that staff meetings are held regularly, although records were not looked at on the inspection. There are separate meetings held for cooks, managers, domestic and care staff. A number of residents said that there were regular residents’ meetings held in the Home. The monthly monitoring visits of the Home that must be carried out by a representative of South Gloucestershire City Council are being undertaken as is required by law. There are detailed and informative records of these visits being sent to the Commission for Social Care Inspection. The records demonstrate that the designated individual responsible for the visits spends time consulting with residents and observing staff carrying out their duties. Residents’ records are kept securely locked away in filing cabinets in the Home’s office, but are less available to staff if they should need them. All records seen were legible, up-to-date and in satisfactory order. The environment looked satisfactorily maintained throughout. The fire logbook records demonstrated fire alarm tests were being carried out and were in order. There are also fire drills being carried out on a regular basis to help protect the health and safety of residents and staff. The kitchen was mostly tidy and organised when viewed. The cook demonstrated an understanding of safe food handling practices. Up to date checks of kitchen fridges and freezers are maintained, to ensure they are operating within food safety guidance levels. Foods that food safety guidance advises are `high risk’ foods are temperature probed before serving to ensure the food has reached above minimum required temperature. However cooked and uncooked meat had not been stored in the freezer in accordance with food safety guidelines. Specifically uncooked meats should not be stored above cooked meats to minimise the risk of cross contamination of the meat, and risk to residents health as a result. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15.2(b) Requirement All residents’ care plans must be regularly reviewed and updated. Timescale for action 01/06/06 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 2 Refer to Standard OP9 OP38 Good Practice Recommendations Return residents medication no longer required to the dispensing pharmacist. Cooked and uncooked meat should be stored in the freezer in accordance with food safety guidelines. Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Wapley Court Care Home DS0000035256.V294800.R01.S.doc Version 5.1 Page 24 - 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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