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Inspection on 14/10/05 for Warneford House Care Centre

Also see our care home review for Warneford House Care Centre for more information

This inspection was carried out on 14th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

The residents were very happy and had a good rapport with the staff and each other. The level of care offered to the residents is high with staff treating the service users with respect and dignity. Visitors are made welcome and they are able to see people either in the privacy of their bedrooms or in the communal areas. The residents were especially complementary about the way the meals were prepared and served.

What has improved since the last inspection?

The care plans now have improved details of the care that individual residents need so that the staff can target specific needs more accurately.

What the care home could do better:

The home needs to make a concerted effort if it is to meet the requirement of having 50% of the care staff qualified to National Vocational Qualification level 2 in Care by 1st January 2006.

CARE HOMES FOR OLDER PEOPLE Warneford House Care Centre Warneford House Tenter Balk Lane Woodlands Doncaster South Yorkshire DN6 7EE Lead Inspector Alan Bartrop Unannounced Inspection 14th October 2005 10:15 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 Warneford House Care Centre DS0000015876.V263941.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. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Warneford House Care Centre Address Warneford House Tenter Balk Lane Woodlands Doncaster South Yorkshire DN6 7EE 01302 337111 01302 337113 warneford.house@ashbourne.co.uk 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) Ashbourne Homes Limited Tracy Atkins Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A condition of registration is that the home can provide care for 1 named person to reside at the home at present under 65 years of age. 1.One specific service under the age of 65, named on variation dated 12 August 2005, may reside at the home. 12th May 2005 Date of last inspection Brief Description of the Service: Warneford house is situated in a residential area of Adwick-Le-Street and is within a short distance of shops, library and churches.The home is registered to provide personal and nursing care for 40 older people 65 years of age and older.The accommodation comprises of 36 single rooms and 2 double rooms. However the double rooms are currently designated for single occupancy. The home is a single story building with easy access to the patio and garden, which is well maintained. Warneford House Care Centre DS0000015876.V263941.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 that started at 10:15 and ended at 15:50. The inspection included discussions with service users, relatives, staff, reading of documents and care files, sampling a meal, and a tour of the building. At the time of the inspection the post of General Manager was vacant, but the role was being carried out by the previous Care Manager who is intending to make an application for Registration with Commission for Social Care Inspection. There are plans to alter the home into two separate units, one catering for people who need nursing care and one for people who are diagnosed as being Elderly Mentally Ill. 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 contacting your local CSCI office. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 6 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 Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 7 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): 6 The home does not offer Intermediate Care EVIDENCE: The home is not registered for intermediate care. None of the service users have been admitted under the Intermediate Care criteria. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 8 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): 7,8,10 Each service user has a care plan that addresses their health needs, and these needs are mat by the staff of the home or outside agencies. Service users are treat with dignity and respect at all times. EVIDENCE: Service users said that the staff had asked them what they would like to be called and made sure that they the residents knew the names of the staff members. Staff were using residents names and approaching them in a friendly way so that the service users were involved in discussions. The case files recorded that medical needs were addressed and that families had been kept informed of any changes in the resident’s condition so that all parties had up to date information. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 9 A relative confirmed that the staff made sure that they knew what had happened and that they were contacted promptly if anything happened. The care plans contained enough information for the staff to provide individual care to the residents. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 10 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): 14,15 Some service users handle their own finances but the majority prefer the staff to do this for them. The meals are well prepared and presented with service users getting help in a discreet way. EVIDENCE: Several of the service users were very complementary about the meals and the way they were presented. Residents said that they could have snacks in between meals and that there was supper available when they went to bed so that they were never hungry. Staff were seen helping service users with their meals in a friendly way that did not attract attention to the fact that the person needed the help. Residents said that the staff were very helpful and that they always offered a choice of meal. Not all residents said that they knew how to get in touch with advocates or where they could get help in assessing the benefits that they were getting. Residents said that they were happy with the arrangements for handling their personal allowances. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 11 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): 18 There are adult protection procedures that are available in the office should the need arise for these to be followed. EVIDENCE: Adult protection procedures were seen in the procedure file that is kept in the office and available to staff. The complaints procedure is posted on the notice board opposite the dining room and this procedure states that the Commission for Social Care Inspection can be contacted and gives the address so that any resident or relative who was not happy could contact Commission for Social Care Inspection directly. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 12 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 and well maintained so that the residents can get to all their areas safely and know that they are clean. EVIDENCE: A tour of the building showed that all the resident’s areas were clean and tidy with obstructions being cleared away. All the cleaning chemicals and materials seen were appropriately used or stored so that they were unlikely to cause any harm to confused residents. There are plans to redecorate the dining room before Christmas. There are plans to turn the home into two units for different client groups but there is no indication when this work will be started at this time. There were no unpleasant odours noted anywhere in the home. There is a handyman employed within the home who attends to any repairs that happen so that the home continues to look nice. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 13 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): 29,30 There are robust recruitment procedures for staff and the personnel files showed that these had been followed closely. There are training courses for the staff on different subjects but the home has not reached 50 of the care staff trained to National Vocational Qualification level 2 in Care. EVIDENCE: There are 37.5 of the care staff trained to National Vocational Qualification level 2 in care. There are records of the training that the staff have done and these records show that the staff have attended courses and also that tests have been set to prove how much has been learnt. The prospective manager has not been enrolled on the National Vocational Qualification level 4 course yet. Staff are aware of the need to treat service users with respect so that the residents feel able to discuss things freely. The personnel files contain the information that is required by the National Minimum Standards so that the staff who have been appointed are appropriate for the role. The design of the staff files does not require that the individual pages are fastened in which may lead to papers becoming separated from the files. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 14 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 There is a quality assurance monitoring system that ensures that the proprietors are kept informed as to how the home is running. Residents personal allowances are recorded on balance sheets that are available for inspection. EVIDENCE: Residents meetings are held and minutes taken. The frequency of these has slipped recently and there needs to be a concerted effort to hold them on a monthly basis. Residents and relatives said that they were asked if they were happy with the care in the home and way they were looked after. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 15 Resident’s finances are recorded in ledgers and these show a current balance and allows the information to be audited. There has been a new record introduced which shows cheques that have been received but not cleared by the bank. Once these have been cleared the money is then entered on the individual balance sheet. There are records of resident’s meetings but these were not recent and the issues raised are now out of date. Residents confirmed that they were asked what activities they wanted and if they would like any trips out. Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 16 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 X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X x Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? yes 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 OP30 Regulation 12 Requirement 50 of care staff be trained to National Vocational Qulification level 2 in Care Timescale for action 01/01/06 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 3 4 Refer to Standard OP14 OP29 OP30 OP33 Good Practice Recommendations Residents are asked if they would like to have their Benefits checked, and if they do this be facilitated. Residents are asked if they would like to have their Benefits checked, and if they do this be facilitated. The proposed manager be enroled on the National Vocational Qualification level 4 The residents meetings be held monthly and these meetings be minuted Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Warneford House Care Centre DS0000015876.V263941.R01.S.doc Version 5.0 Page 19 - 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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