Inspection on 05/12/05 for Wardington House Nursing Home

This inspection was carried out on 5th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Wardington House Nursing Home 29/01/09

Wardington House Nursing Home 15/03/07

Wardington House Nursing Home 04/05/05

Wardington House Nursing Home 18/11/04

Wardington House Nursing Home 08/07/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Wardington House Nursing Home Wardington, Banbury Oxfordshire OX17 1SD Lead Inspector Philippa MacMahon Unannounced Inspection 5th December 2005 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 Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 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. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wardington House Nursing Home Address Wardington, Banbury Oxfordshire OX17 1SD 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) 01295 750622 01295 750036 Wardington House Partnership Mr George Tuthill Care Home 60 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (5), Past or present drug of places dependence over 65 years of age (5), Dementia - over 65 years of age (60), Learning disability over 65 years of age (5), Mental Disorder, excluding learning disability or dementia - over 65 years of age (60), Old age, not falling within any other category (60), Physical disability over 65 years of age (10), Terminally ill over 65 years of age (5) Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. On admission persons should be aged 60 years and over. Up to five named residents under the age of 60. Date of last inspection Brief Description of the Service: Wardington House lies on the edge of Wardington village close to the town of Banbury. The home has been providing care for the mentally infirm, and particularly those suffering from Alzheimers disease since 1965. No routine tranquilizing or sedative drugs are used. Instead a relaxed, stress-free environment is offered so that residents can retain their freedom of choice and individuality. The accommodation is provided on three floors and is accessed by a passenger lift. There are 19 single rooms, 20 double rooms, 2 with 3 sharing, and a top floor special unit with 6 sharing. Within the complex there is also a unit for residents who want more independence. The 3 large communal lounge/dining rooms offer choice, and space to wander in safety. Large picture windows provide a lovely open aspect to the extensive attractive grounds that are accessible to the residents, and allow a safe environment for them to enjoy. There are plans to build more single rooms, with en-suite facilities, so that the residents can have more choice of accommodation. The total number of residents for which the home is registered is not expected to change. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the second in the inspection year. The inspector was made very welcome by the staff, and was offered all cooperations through out the visit. A sample of care plans was examined, and this included observing if the care plans reflected the assessed care needs and how these are being met. The medication system, complaints procedure and recruitment policy and procedure were addressed. Records required by regulation were made available to the inspector. A preinspection questionnaire had been completed and returned to the inspector prior to this visit. Commission for Social Care Inspection comment cards had been received from visiting professionals to the home. What the service does well: The residents at Wardington House have complex needs and the focus of all activities and the care provision is centred on meeting their individual care needs. Wardington House provides a delightful environment both inside and outside the home that is maintained to a very high standard. It is commendable that the registered provider has invested in a sprinkler system that is being installed throughout the home at the present time. The staffing of the home is arranged around the residents’ needs, and the shift patterns reflect this. Training and staff development is very appropriate to meeting the care needs of the residents. The management and administration of the home is of a high standard. The Commission for Social Care Inspection have received feedback cards from visiting professionals giving very positive feedback on the care provided at the home. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 6 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 contacting your local CSCI office. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 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 Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 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): 3,6. All the residents have a pre-admission assessment made prior to admission to the home. An intermediate care service is not provided at the home. EVIDENCE: Matron told the inspector that she carries out all pre-admission assessments, sometimes accompanied by her deputy, and that she always makes herself available on the day of admission. Apart from being able to welcome the person to the home, it also provides reassurance and continuity. The inspector examined a sample of pre-admission assessments and found them to be comprehensive. The home also carries out an in depth further assessment following admission, that is carried out over a period of three days to enable the staff to get a good “picture” of the resident and their care needs. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 9 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. Every resident at Wardington House has a care plan in which their assessed care needs are identified, and the action required to meet those needs. The in depth assessment of care needs is excellent. Risk assessments are carried out, and the “MUST” nutritional assessment tool is in need of development. Every effort is made to ensure that the residents’ total care needs are met. EVIDENCE: The inspector examined a sample of care plans and found them to be comprehensive and gave a good picture of the residents’ care needs, and how these will be met. One of the sample of care plans examined was for a resident recently admitted, and the inspector found the 3 day continuing assessment record and the subsequent development of the care plan. This is very good practice and particularly helpful with the client group cared for at Wardington House. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 10 Risk assessments are carried out for Moving and Handling, Falls, Pressure wound prevention, and Nutrition. The nutritional tool being implemented at the present time is being adapted to the home’s way of working, and is not as yet giving an accurate picture of the residents’ nutritional status. It is recommended that the nutritional tool “MUST”, should be implemented fully for all of the residents’. Other health care professionals who are readily available to the home support the care provision. These include GPs. diabetes specialist nurse, MacMillan nurses, breast care nurse. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 11 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): 0 None of these outcomes were inspected on this occasion. EVIDENCE: Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 12 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. The complaints system within the home is very accessible and robust. Every effort is made to ensure that the residents’ are protected from any form of abuse. EVIDENCE: Copies of the home’s complaints procedure are readily available in the service users guide. Matron told the inspector that complaints or concerns are taken very seriously, and dealt with quickly. Records of all concerns and complaints are kept in a book, which was made available to the inspector for examination. All staff receive training on issues of the protection of vulnerable adults as part of the induction training and in ongoing training. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 13 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): 26. The home is clean, pleasant and hygienic. This is commendable given the difficulty in caring for this special group of people. EVIDENCE: Although the inspection on this occasion did not include the environment, the inspector was aware of the areas observed, and found them to be cleaned to a very high standard, and there were no unhygienic odours. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 14 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): 27,29,30. The number and skill mix of staff is appropriate to meet the residents’ care needs. It is commendable that the staffing levels have been matched to the pressure points in the working day to ensure that the residents’ care needs will be met. The recruitment policies, procedures and practices provide protection and support for the residents. All staff employed at Wardington House are trained and competent to carry out their duties. EVIDENCE: Staffing rotas were examined by the inspector and showed that sufficient numbers and skill mix of staff are on duty throughout each 24-hour period. The inspector noted that there are many different shifts, and that these allow for extra staff being on duty when the demand is greatest. The home’s recruitment procedure was examined and a sample of staff files were made available to the inspector, and overall these were found to be in good order. Matron is very committed to the training and development of all staff working in the home, and one of her nurses holds responsibility for the training and Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 15 development programme. At the present time only 4 of the care staff have achieved NVQ level 2 or above, however the majority of staff are registered on the programme. There are four NVQ assessors who are supporting these staff through the process. Further opportunities are given for training and update in all relevant subject areas. The registered nurses are assisted to maintain their continuing professional development by attending workshops and training days provided externally. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 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 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): 33,35,38. The home is run in the best interest of the residents’. The residents’ financial interest is safeguarded. The home is very well maintained to a high standard and all necessary checks are carried out. The registered provider is committed to ensuring the health and welfare of the residents is paramount. EVIDENCE: The home does not have a system of consumer satisfaction at the present time. The completed pre inspection questionnaire received by Commission for Social Care Inspection and accompanying statement of purpose dated 17/05/04, states that a system will be developed. It is recommended that a system of consumer satisfaction should be developed within an appropriate time frame. The “open door” style of management provides relatives, and Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 17 visitors the opportunity to discuss any issues at any time. Letters of commendation are kept and a sample was shown to the inspector. None of the residents is able to manage or hold money themselves, however there are systems in place for the storage, and recording of any transactions made. The inspector discussed with the general manager the maintenance of equipment; fire safety, and regular checking of the systems, and training for staff, a sprinker system is in the process of being installed throughout the home at the present time; electrical systems, and the disposal of clinical waste. Accompanying documentation was shown to the inspector and found to be in good order. A calendar of outstanding work was shown to the inspector, and a clear maintenance plan. The inspector was informed that the two gas dryers in the laundry are due to be replaced shortly. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 18 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 4 STAFFING Standard No Score 27 4 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 4 Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 19 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. Standard Regulation Requirement Timescale for action 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 OP8 OP33 Good Practice Recommendations It is recommended that the nutritional tool “MUST”, should be implemented fully for all residents’. It is recommended that a system of consumer satisfaction should be developed within an appropriate time frame. Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Wardington House Nursing Home DS0000027188.V270670.R01.S.doc Version 5.0 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. 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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