Inspection on 11/07/05 for Wardhayes

This inspection was carried out on 11th July 2005.

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

Wardhayes 07/08/06

Wardhayes 17/02/06

Wardhayes 23/02/05

Wardhayes 15/06/04

Wardhayes 16/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Wardhayes Simmons Way Okehampton Exeter EX20 1PY Lead Inspector Helen Tworkowski Unannounced 11th July 2005 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 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. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wardhayes Address Wardhayes, Simmons Way, Okehampton, Exeter, Devon, EX20 1PY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01837 52570 01837 55381 info@devon.gov.uk Devon County Council Kathleen Mary Westbrook Care Home 22 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (6), Old age, not falling within any other of places category (11), Physical disability (5), Physical disability over 65 years of age (5) Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Categories DE and PD for 55 years and over. Home complies with requirements made at the NCSC Inspection made on 11/3/03, within time scales set. Home complies with the requirements made by DFR. Home provides evidence that building works have been completed to satisfaction of Building Control (Time Scale 6 months). No more than 5 people falling into the categories PD or PD(E) to be accommodated at any one time No more than 6 people falling into the categories DE or DE(E) to be accommodated at any one time Date of last inspection 16th and 23rd February 05 Brief Description of the Service: Wardhayes is a purpose built Residential Home run by Devon County Council. The home is situated on a housing estate on the edge of Okehampton. The home has undergone considerable changes in the last few years and is currently provides the following services: “Poppy Day Centre” on the ground floor, (this service is not registered). On the first floor is a “Re-ablement Service” for five people- this service is aimed at providing short-term rehabilitation for elderly people who may have suffered a period of ill health or have recently been discharged from hospital. On the ground floor there is accommodation for six people who have dementia and who would benefit from a short stay away from home, this service is known as “The Firs”. On the ground and first floor there is accommodation for eleven elderly people, this includes two short stay beds. The accommodation is for people who are need support due to general frailty related to their age. The home has a shaft lift and when the current round of developments have been completed each area of the building will have it’s own bathing, laundry, dining and lounge facilities. There are plans to move a lounge/ diner on the ground floor to the first floor so that it is closer to the bedrooms.The home has a large kitchen that provides meals – that are taken to each dining area on heated trolleys. The home has a number of disabled access bathrooms and hoists. There is level access throughout the building.The home is staffed 24 hours a day. Each Unit has it’s own staff and assigned manager. There is a duty manager on duty in the home at all times Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place between 2.30 and 7.30pm on the 11th July 05. The inspection included a tour of the bedroom, though not all bedrooms were seen during this inspection. Time was spent talking with three service users, a visiting District Nurse and a Social Services Care Manager who both provided positive about the standard of care provided at Wardhayes. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 6 contacting your local CSCI office. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 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 standard(s) 3,4, and 5 The system for assessing Service Users does not allow the home to make an informed decision as to whether the individuals needs can be met, taking into account other service users’ needs. This means that Service Uses cannot be assured that their needs will be met. EVIDENCE: There were assessments for each service user who had been admitted to the home. Assessments ensure that staff know what are person’s needs are and if they can be met at Wardhayes. Potential Service Users are not generally visited by any member of Wardhayes staff, other than as a staff training exercise. It is good practice that potential service users meet staff from the home before a stay so that they have a chance to ask questions about the home, as part of the assessment process, and so that when the move takes place there is a familiar face. One person was due to move to the home on the following day. The assessment was not received until 4.30pm and there was no time for the registered person to confirm to the service user, in writing that the home could meet needs. There was also no time to clarify any issues in the assessment Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 9 such as epilepsy, or to develop a Service User Plan, risk assessments and to communicate this information to staff. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10 The lack of Service User Plans means that the home may not consistently meet health, personal and social care needs of Service Uses. Service User felt they were treated with respect and consideration by staff. EVIDENCE: Some of the Service User files contained Service User Plans, however files on the Intermediate Care Unit did not have any such plan. These documents provide details of the actions staff are to take to meet care needs. This plan ensures that needs are not only met but met consistently and in a way that has been agreed with the Service User. There were however risk assessments and guidance for staff on how to help people to move safely. Staff spoken with had read and were familiar with the documents that were on file and their implications for care. Discussions with service users and with a visiting district nurse showed that staff are responsive to people’s needs, and that service users felt well cared for. Service Users said that they were treated with respect: staff knocked on doors before they entered rooms and were responsive to needs. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 11 A brief inspection of the medication system indicated that medication was being appropriately managed and that service users were given the opportunity to self medicate. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 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 standard(s) 12,13, 14 and 15 The home provides a good standard of meals, which Service Users generally enjoy. There is a limited range of activities on offer in the home. EVIDENCE: There was limited information on Service User Plans about the hobbies and interests, where there was no Service User Plan there was no information about hobbies or interests. Service Users spoken with said that there was not many activities on offer. A new garden has now been completed and this provides plenty of seating, however it is not well used at present, perhaps due some of the pathways not being fully accessible yet. Service Users said that there were no specific rules and that they could get up and go to bed when they choose, there were choices of meals and where Service Users are able, then they can manage their own medication. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 16 There is a well-publicised complaints procedure that Service Users felt confident to use. EVIDENCE: No complaints have been received by CSCI or by the Registered Person, and service users spoken with said that they were confident to complain if they the need to do so. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 19,20 and 26 Wardhaves Care Home is comfortable, clean, well decorated, well maintained, and suited to the needs of the people accommodated. EVIDENCE: Much of the home has been recently renovated and Service Users thought that the areas that they used are comfortable and provided a very good standard of accommodation. A tour of much of the building confirmed that the views of Service Users, and that the homes is clean and well maintained. People are accommodated in small groups and this means that the accommodation is domestic in character and is particularly suited to people staying at the Firs, which specialises in caring for people with dementia. The hot water supplied to baths and wash hand basins was being checked during this inspection to ensure that it was maintained at the appropriate temperature. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected during this Unannounced Inspection. EVIDENCE: Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected at this unannounced inspection. EVIDENCE: Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 18 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement Timescale for action 1/10/05 2. OP36, OP30 18 3. OP33 24 4. OP4 14 The Registered person must write to each potential service users to confirm that the home is able to meet their assessed needs. (This requirement was made at the last two inspection and has not been met). 1/9/05 The Registered Person must provide all staff with induction and foundation training to ensure that they are competent to do their jobs. This should be NTO standards, as specified in the National Minimum Standards. (This requirement was not met from the previous inspection and is therefore carried forward). The Registered Person must 1/10/05 develp and implement a Quality Assurance system, as described in the Care Home Regulations.(This requirement was not met from the previous inspection and is therefore carried forward). The assessment process must 1/9/05 ensure the decision to admit a person to Wardhayes is based on an informed decision as to whether their care needs can be D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Wardhayes Page 19 met. 5. OP7, OP8 15 Each Service User must have a plan that details how their needs (including health care needs) will be met, and must detail the actions staff are to take to meet these needs. The Registered Person must provide a range of activities for all Service Users, reflecting their interests and hobbies and reflecting Service User Plans. 1/9/05 6. OP12 16 1/10/05 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 OP5 Good Practice Recommendations Care staff from the ome should visit prospective Service User in their own home prior to admission. Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Wardhayes D54-D07 S32463 Wardhayes V236261 060705 Stage 4.doc Version 1.40 Page 21 - 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. 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