Inspection on 10/06/05 for WCS - Drayton Court

This inspection was carried out on 10th June 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

WCS - Drayton Court 31/03/09

WCS - Drayton Court 31/01/07

WCS - Drayton Court 02/11/05

WCS - Drayton Court 15/12/04

WCS - Drayton Court 11/08/04

WCS - Drayton Court 13/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE WCS - Drayton Court Cedar Road Camp Hill Nuneaton CV10 9DL Lead Inspector Patricia Flanaghan Unannounced 10 June 2005 12:45 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. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service WCS - Drayton Court Address Cedar Road Camp Hill Nuneaton Warwickshire CV10 9DL 02476 392797 02476 393020 admin@draytoncourt.f9.co.uk Warwickshire Care Services Limited 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) Mrs Shirley Ann Randle PC 45 Category(ies) of OP 45 registration, with number of places WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15 December 2004 Brief Description of the Service: Drayton Court is situated next to the church of St Mary and St John in Cedar Road, Nuneaton. It is located approximately 50 yards from the local amenities including post office, chemist, newsagent, supermarket, florist, greengrocer and hairdressing salon. Drayton Court is located close to Stubbs Park and pool, with water lilies, ducks, swans and children’s play area, all of which are adjacent to a landscaped area, which provides pleasant walks. Drayton Court is a three-storey building, which was comprehensively refurbished in 1997 in order to meet the needs of 45 older people. All corridors are fitted with handrails, all doors are wheelchair accessible and there is a shaft lift to all floors. The home offers a range of adaptations and equipment, which assist service users in attaining greater independence and also promote their health and safety. All bedrooms are single rooms, 22 having en-suite facilities. All bedrooms have washbasins, call bell systems to call for assistance, central heating, wardrobe and dressing table as standard. Service users can, if they choose, furnish and redecorate their room to their own taste if they wish. Telephone points are not fitted in bedrooms, service users wishing to have their own telephone can do so at their own cost. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The following is the findings of an unannounced inspection, carried out on a weekday between the hours of 12.45 p.m. and 7.00 p.m. During the inspection the assessment information and care plans were seen for two residents. Discussion took place with the manager and members of the care staff. Conversations were held with residents and two visitors. A tour was made of the building and grounds. What the service does well: Drayton Court offers a good service to older people which is provided by a well-motivated staff team, who are led by an experienced and committed manager. This takes place in a purpose built environment which is well maintained. There is a cheerful atmosphere within the home with a good rapport between residents and staff. The manager and her team have an excellent understanding of the individual needs of their residents which is underpinned by ongoing training. Residents were provided with choice over how and where they spent their time and whether they joined in with activities. The home provided a weekly schedule of activities that included some gentle physical exercise. Residents spoken to were very happy with the quality of the care provided and advised that the staff were friendly and caring. Visitors are made welcome and those spoken to were happy with the care provided for their relative. The attractive, well maintained gardens are safe and accessible to residents. The manager ensures that sufficient staff are on duty at all times to respond to the needs of the residents. Staff receive the appropriate training required to undertake their role and there are a high number of staff with, or working towards, obtaining National Vocational Qualifications in Care. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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 WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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, 5 and 6 Individual health, personal and social care needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. Residents are provided with the opportunity to visit the home to assess the quality, facilities and suitability of the home before moving in. Drayton Court does not provide an intermediate care service. EVIDENCE: The documentation seen, and discussions with residents, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Several residents spoken with confirmed that their relatives had visited the home to look round before they moved into the home. One resident spoken with advised that they had visited the home, and had a meal prior to deciding to stay. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 9 Records showed that assessments had been completed and this provided the necessary information for the home to be able to provide the care needed. Staff spoken to were aware of individual residents needs as well as their likes and dislikes. The home does not provide an intermediate care service. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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 and 10 The home was meeting the health needs of the service users although there were aspects of the record keeping that needed improvement. Without this improvement there is the chance that aspects of residents’ care may not be fully attended to. Residents were treated with respect and their privacy and dignity were promoted enhancing their wellbeing and self esteem. EVIDENCE: The home has developed comprehensive individual plans of care identifying the health and personal care needs of residents. A new system of care planning documentation has been introduced since the last inspection visit. Staff have received training and it was advised that this training is ongoing. An examination of two care plans evidenced that whilst plans are reviewed monthly the ‘Care Input’ by staff is not always updated to detail the current care needs or risks of residents. For example, one of the care plans for ‘Independence’, which included dressing/undressing, had been changed in April from ‘Independent, no help required’ to ‘Limited assistance, one carer’. This had been reviewed in May and June, however, the care input still advised staff that the level of assistance required was minimal for this resident. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 11 Similar detailed information was missing from both files reviewed, although staff clearly know their residents well. The home was undertaking practices to prevent falls. Holistic assessments had been undertaken for each resident living at the home. Residents spoken with felt that their health care needs were being met stating that they saw the dentist, the chiropodist, the optician and that the GP or District Nurse saw them when necessary. The risk of pressure sores is assessed and the necessary equipment is provided. Nutritional issues were identified and if necessary a nutritional plan is put in place. The home promoted the privacy, dignity and independence of the residents. Staff were observed responding to residents in a sensitive manner and were able to describe how they undertook tasks in a manner that promoted residents’ privacy and supported them to make choices over their lives. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. All residents spoken with told the inspector that they were treated with respect, and that the staff were very kind and helpful. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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 and 14 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. EVIDENCE: The home had a weekly schedule of activities in place and residents stated that they could choose whether to join in with these. A full programme of forthcoming planned activities was displayed on each floor of the home. A number of outside trips are undertaken throughout the year, for example, canal barge trips, pub lunches and a day at Kings Church in Bedworth. A forthcoming trip being planned is an outing to Hatton Country Park. The home has church services weekly to meet residents’ religious requirements. The home provided flexible routines whereby residents could get up and go to bed when they wished they could spend time in the communal rooms or in their bedrooms and could choose where to have meals and snacks. Breakfast could be taken at a time of the residents’ choosing. Visitors could visit at any reasonable time and visitors spoken to confirmed that they were made to feel welcome. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 13 Several residents went out of the home regularly. One resident visited the local shops during the inspection visit and another resident was on a short holiday with family. The manager advised that a member of staff will accompany individual residents on shopping trips or local outings to parks if requested to by residents. Residents meetings are held monthly with the minutes of the meeting of 23/05/05 available on the notice board. It was evident that the meetings are well attended and residents feel able to raise issues with the manager and know they will be acted upon. Matters arising from the previous meeting are discussed. Although food was not inspected on this occasion, a number of residents made very complimentary remarks about the quality of the food provided. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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 standard(s) These standards were not assessed at this inspection. EVIDENCE: WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 24 and 25 The standard of the environment within the home is good providing residents with a safe, attractive and homely place to live. Residents have comfortable bedrooms with the majority having their own possessions around them. EVIDENCE: Drayton Court is maintained to a high standard in décor, furnishings and fittings and hygiene. Bedrooms are located on three floors accessed by a new shaft lift recently installed. Observations of bedrooms visited indicated that residents are encouraged to bring in personal items to individualise their own space. All bedrooms are single rooms, 22 having en-suite facilities. The home has an ongoing refurbishment programme both for bedrooms and communal areas. Bathrooms and toilets are located throughout the home adjacent to both communal and bedroom areas. An unpleasant odour was noted in one of the bedrooms viewed. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 16 A high back chair in one of the bedrooms was dirty and needed cleaning. A storage cupboard containing cleaning equipment, including chemicals, on the first floor was unlocked. This potentially places residents at risk. Externally, gardens are very attractive and well maintained. A lot of work by the staff and residents has gone into the planning and development of the grounds. There is a wide range of garden furniture and features and residents were seen to enjoy spending time in the gardens during the inspection. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 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 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) 27 and 30 Drayton Court employs sufficient staff to meet the needs of its residents. There is a good training programme in place which ensures that the staff are competent to do their job. EVIDENCE: At the time of the inspection there were six care staff, plus a social care worker on duty. The registered manager’s hours are supernumerary. There were sufficient ancillary staff on duty. Night cover in the home is provided by three care staff. The home continues to make steady progress with National Vocational Qualification in Care (NVQ) training, with 65 of staff having the qualification at Level 2. A further 7 staff are currently undertaking NVQ training. Recent training undertaken by staff include Lead Care, Care Planning, Mobility Difficulties, Infection Control, Safe Handling of Medication, Protection of Vulnerable Adults, Nutrition for the Elderly and Essential Skills and Communication. Mandatory training in Food Hygiene, Moving and Handling, First Aid and Fire training for all staff is up to date. Induction training and Foundation training for new members of staff meet the National Training Organisation standards. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 18 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) 31and 32 The home has a competent and qualified manager who is providing good leadership. EVIDENCE: The Registered Manager has considerable experience in managing homes for older people. There are clear lines of accountability within the home. The manager has regular supervision meetings with her line manager and has completed the Registered Managers Award. Observations made and discussions with residents indicated that the manager is very approachable and operates an open door policy. The residents and visitors spoken with advised that they are happy to approach the manager with any problems they might have. WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 19 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 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 2 2 x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 3 x x x x x x WCS - Drayton Court E53 S4263 WCS - Drayton Court V232896 100605 stage 4.doc Version 1.30 Page 20 No 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 7 Regulation 15 Requirement Care plans must be further developed, which clearly advise staff as to how specific care needs are to be met. The chair must be cleaned or replaced in the bedroom identified during the inspection visit. The odour in the individual room must be attended to and carpets cleaned where necessary. All substances hazardous to health (COSHH) must be securely stored. Timescale for action 31 July 2005 31 July 2005 31 July 2005 10 June 2005 2. 24 16(2) 3. 4. 24 25 16(2) 13(3)(4) 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. 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