Inspection on 28/02/06 for WCS - Dewar Close

This inspection was carried out on 28th February 2006.

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

WCS - Dewar Close 26/09/06

WCS - Dewar Close 06/09/05

WCS - Dewar Close 06/12/04

WCS - Dewar Close 11/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE WCS - Dewar Close 5 Beech Drive Bilton Rugby Warwickshire CV22 7LT Lead Inspector Patricia Flanaghan Unannounced Inspection 28th February 2006 01:00 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 WCS - Dewar Close DS0000004262.V285296.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. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service WCS - Dewar Close Address 5 Beech Drive Bilton Rugby Warwickshire CV22 7LT 01788 811724 01788 816253 admin@wcsdewar.fa.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) Warwickshire Care Services Limited Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Dewar Close provides long-term residential care for 37 frail older people and day care for up to a further eight older people. Accommodation for service users is on three floors, which are all accessible via a slow moving lift. There are two or three lounge/dining areas on each floor. In addition to three staircases, there is a shaft lift. An assisted bath and shower plus two toilets are available on each floor. 22 of the bedrooms have private en-suite toilets and wash hand basins. The home provides a range of equipment designed to promote independence and to enhance the health, safety and welfare of service users. There is a loop system fitted in the main lounge on each floor as well as raised toilet seats, grab rails and specialist equipment to assist with moving and handling. Library books are also available in large print. A significant number of service users’ private rooms can accommodate wheelchair users. The main kitchen, laundry, offices and day care facility for eight older people are located on the ground floor of the accommodation. A small kitchenette is provided for the use of service users, staff and visitors in the main lounge/dining room on each floor. The gardens have been landscaped and provide accessible seating areas for service users. There are seats just outside of the main entrance to the home. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection, the second visit of this inspection year, took place between 1.00pm and 8.00pm. The manager and care manager were present throughout the inspection. During the inspection records were examined in relation to care provision for the residents, staff records and those concerning health & safety and management of equipment in the home. A tour of the building was carried out. members of staff were spoken with. Eleven residents, one visitor and two A service questionnaire was completed by the home and returned to the Commission for Social Care Inspection (CSCI) prior to this inspection. The manager was asked to distribute other questionnaires regarding the service to residents, relatives and health care professionals. The completion of these is voluntary but proves useful in assessing the various views that are held. Five responses from residents and sixteen responses from visitors/relatives had been received by the CSCI at the time of writing this report. The responses were mostly positive. Comments from residents include • “I have lived in the home for over 6 years and have not had to complain once” • “I am happy here” • “I am very satisfied” • “Food choices could be more varied” Comments from relatives include • “I am not exactly happy with the cleanliness of the carpet in my relative’s room, I feel the room needs a different colour of paint to brighten the room” • “I have some concerns that my relative’s room is not cleaned daily” A visitor also told the inspector “my relative loves it here, the staff can’t do enough for them. I am always made welcome when I visit”. What the service does well: The home had a friendly and welcoming atmosphere. Residents said they were happy with the care provided and described the staff as “excellent”, “helpful” and “there isn’t a bad one among them.” WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 6 Residents were seen to receive personal care in a manner that respected their privacy and dignity and this was also confirmed by residents spoken with. Discussions with staff evidenced that they were aware of residents’ individual needs and their likes and dislikes. Residents confirmed that they are able to spend their day as they wished. There is good variety of planned activities and residents said they enjoyed these. Regular residents meetings are held enabling residents to voice their opinion. A new manager has recently been appointed to the home and a number of residents and staff spoke positively about her management style. Two residents said that both the manager and care manager are “very caring” and stated that they visit each resident every morning to “see for themselves how we are.” 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. WCS - Dewar Close DS0000004262.V285296.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 WCS - Dewar Close DS0000004262.V285296.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): None of these standards were inspected at this visit. Standard 3 was reviewed at the inspection of 06/09/05 and assessed as met. Standard 6 is not applicable for this service. EVIDENCE: WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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 Residents individual needs were assessed and their changing needs were reflected in their plan of care. EVIDENCE: There were minor shortfalls in this standard identified at the last inspection. Two care plans examined at this visit were seen to set out in detail the action that is required by staff to ensure that all aspects of their care needs are met. The plans had been completed with the involvement of the residents which gave them the opportunity to agree the level of help they needed from staff. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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): 12, 13, 14 and 15 Residents were satisfied with their lifestyle in the home and they had been able to exercise choice and influence decisions affecting them. Contact had been maintained with relatives and friends of residents. Opportunities to access the local community had been made available. Meals are appealing and balanced and enjoyed by the service users. EVIDENCE: Residents said that they could choose how they spend their day and take part in the social activities if they wish to. The majority of residents were seen to be reading, chatting to staff or each other, resting or watching television in their rooms. There is a good programme of activities within the home. The weekly programme is displayed on the notice boards on each floor. Outside entertainers visit the home on a regular basis and outside trips are undertaken. For example, trips to a garden centre for lunch are particularly enjoyed by residents. A residents group has been set up. “Friends of Dewar Close” committee take an active part in promoting opportunities for leisure and recreational activities in and outside the home. A games afternoon has been established whereby a relative visits the home to play games, such as dominoes, cards or chess with residents on a one-to-one basis, or in small WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 11 groups. Students from Rugby School also visit weekly to sit and read to residents or play Scrabble. Religious services are held monthly. Residents meetings are held. These are chaired by a relative. Minutes of the most recent meeting held was seen and it was evident that residents are encouraged to voice their preferences and expectations of their lifestyle within the home. Residents confirmed that they were encouraged to maintain contact with their family and friends and that they were welcome to visit them at any reasonable time. A number of visitors were seen to visit during the inspection visit and it was evident that they had a good relationship with the staff on duty. One visitor spoken with confirmed that she is always made welcome by staff stating that “they can’t do enough for my relative.” A good choice of menu was offered and special dietary needs are catered for. The residents spoken with said the food was “very good” and “there is plenty of it”. Meals are served in the dining area within each separate unit or in residents own rooms if preferred. Each unit has a kitchenette and meals are sent in a heated trolley from the kitchen. The inspector observed the evening meal being served, and noted that food was presented in an attractive and appealing manner, and those service users requiring assistance were supported in a sensitive and caring manner by the staff, the atmosphere was relaxed and service users appeared unhurried. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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): 18 There is a clear Adult Protection policy in place, to make staff aware of their responsibilities to provide a proper response to any suspicion or allegation of abuse. EVIDENCE: Comprehensive procedures for the protection of vulnerable adults are in place. Discussions with the manager and staff demonstrated a good understanding of recognising the types and signs of abuse. Staff knew how to report any allegations of abuse. Staff attend regular training on the protection of vulnerable adults and details were seen of forthcoming training sessions. Residents said that they “feel safe” at the home. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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): 19 and 26 The home is clean and comfortable. The premises are maintained to a satisfactory standard resulting in a suitable living environment for residents. EVIDENCE: A tour of the premises found the home to be suitable for the purpose of providing an accessible and homely environment. The inspector was advised that the home has a programme of ongoing maintenance and refurbishment. A resident’s bedroom identified as requiring redecoration was seen and the manager said that arrangements have been made for this to be undertaken as soon as possible. All areas of the home and grounds were clean, tidy and well maintained. There is a conservatory which is popular with both residents and visitors alike. There is a large well maintained garden for residents to walk or sit and relax. One resident confirmed that she liked to walk in the garden on a daily basis, if possible, for some fresh air. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 14 One the day of the inspection the home was clean and free from offensive odours. The large laundry is situated on the ground floor. A satisfactory system is in place to ensure that cross contamination does not occur between dirty and clean laundry. The laundry floor is impermeable and this and the wall finishes are readily cleanable. Washing machines have suitable programmes to meet disinfection standards. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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 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): 28 and 30 A strong commitment to training ensures staff have the knowledge and skills to undertake their duties. EVIDENCE: Training records provided by the home show that staff have attended regular training on the conditions associated with old age. Figures indicate that 58 of staff have a National Vocational Qualification (NVQ) Level 2 or 3 in care. The manager said that all staff in the home either have this award or working toward attaining it. This is seen as very good practice. Induction training for new staff has been updated by the organisation. This covers all the standards from the National Training Organisation (Skills for Care) workforce training targets. A personal development plan is completed which identified training needs and forms a basis for ongoing formal supervision. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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): 31, 35, 36 and 38 The home has an experienced manager and is effectively and well managed. Residents financial interests are safeguarded. Staff are appropriately supervised. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The manager has recently been appointed to the home and residents and staff spoke positively about her management style. She was described as “caring,” “approachable” and “very supportive.” The manager has the Registered Managers Award and said that she has recently completed her NVQ Level 5 award in management, which is commendable. She continues to update her knowledge on the conditions associated with old age. Monies held at the home on behalf of residents are handled in line with the homes policy of handling resident’s money, ensuring their financial interests WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 17 are safeguarded. A sample was checked and found to be satisfactory. Secure facilities are provided for the safe keeping of monies. The supervision and appraisal of staff is now being done and evidence was seen of this although it is still in its early stages. Individual supervision was being held that covered areas of practice and procedures. No health and safety hazards were observed. Evidence was seen to confirm that staff receive regular training in moving and handling, fire safety, first aid and food hygiene. Certificates were seen during the inspection for the maintenance and service of major systems. Accident records were examined, the quality system enables the manager to monitor accidents/incidents and the accuracy of recording. WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 x 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 3 X 3 WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 19 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. 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. Refer to Standard Good Practice Recommendations WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Dewar Close DS0000004262.V285296.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!