Inspection on 05/03/07 for WCS - Four Ways
Also see our care home review for WCS - Four Ways for more information
This inspection was carried out on 5th March 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
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
New service users are made to feel welcome and good systems are in place to make sure service users needs are fully assessed before they move in and staff can make arrangements to meet these needs. A comment card from a relative stated " we have been very impressed with their care, .... and information in making a "new" resident comfortable and welcome". Staff spend time collecting information for life histories as well as how residents would like their daily care to be provided so that they can maintain some independence and are involved in how their care is to be given. This includes information on times they like to get up and what drinks they would like and when. Service users are able to bring items of furniture and personal belongings with them to help them to personalise their bedrooms and make them more homely. Good arrangements are in place for reviewing service users care plans on a monthly basis and review meetings take place with families to ensure they are involved in the care of their relative and the home can consider any concerns families may have. Where service users have complex needs, the home involves the GP and seek specialist support to help address these. A service user commented "Staff have been very good at arranging GP care when necessary". The home has a flexible visiting policy and service users are able to receive visits from friends and relatives at times that are convenient to them. There are good systems in place to support quality monitoring in the home. This includes books on each floor to record any suggestions, compliments or concerns. Records showed that these are regularly used and comments are taken seriously and acted upon as appropriate to ensure the contentment and wellbeing of service users.
What has improved since the last inspection?
Service user meetings have increased in frequency and attendance and are chaired by an advocate so that residents feel at ease to raise any comments or suggestions about their care or the services provided by the home. Menus are now being changed seasonally and the manager reported since the new menus had been introduced there had been less concerns raised by residents about the food. Keyworker photo identification sheets have been produced and are in the process of being distributed to service users so that they know who their main carer is. Management team meetings take place every week so that areas requiring action can be discussed and addressed. This has helped to promote good communication systems so that any matters affecting service users can be dealt with swiftly and effectively. Following a suggestion from a resident about wheelchair access around the garden, work was undertaken to widen the path and new wooden furniture has been purchased to benefit the residents. A gas safety check of the home has been completed to confirm gas appliances are safe. Some improvements in regard to medication have been addressed although others still remain.
What the care home could do better:
A letter needs to be written to service users following their admission to confirm the home can meet their needs. The scoring system on the care plans needs to be more clearly defined in the care plan so that staff know what care need it is they have to address. Daily records need to be completed daily and show the care prescribed is being given. A review of medication is required to ensure staff are administering this correctly and are maintaining accurate records to safeguard residents. Further development of social activities is required to ensure residents feel sufficiently stimulated to maintain their wellbeing. The cleanliness of the home is in need of attention in particular in regard to lounge carpets and kitchenette areas to ensure residents can be cared for in a clean and safe environment. Sufficient storage facilities need to be made available for toiletries in service user bedrooms to prevent them being stored on the floor. Duty rotas need to be accurate so that it is clear which staff are on duty and in what capacity. The Registered Provider needs to complete a monthly report on the conduct of the care home to demonstrate the home is being regularly audited to confirm compliance with care standards and regulations. Food needs to be stored appropriately in kitchenettes and probed to check temperatures so this is suitable for residents. Fridge temperatures within the kitchenettes need to be recorded consistently to show these are operating within safe guidelines to store food.