Inspection on 13/09/05 for Wear Court

This inspection was carried out on 13th September 2005.

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.

Other inspections for this house

Wear Court 27/05/10

Wear Court 17/05/10

Wear Court 16/03/10

Wear Court 18/02/10

Wear Court 11/12/09

Wear Court 30/07/09

Wear Court 01/08/08

Wear Court 08/11/07

Wear Court 01/12/06

Wear Court 25/01/06

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Wear Court Rock Lodge Road Roker Sunderland SR6 9NX Lead Inspector Mrs P A Worley Announced Inspection 13th September 2005 10:00 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 Wear Court DS0000064820.V250092.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. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wear Court Address Rock Lodge Road Roker Sunderland SR6 9NX 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) 0191 5496441 0191 5485305 Moorlands Care Homes (N.E.) Limited Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11/11/04 Brief Description of the Service: Wear Court Nursing Home provides nursing and personal care for 30 older people. The home is situated in a residential area of Sunderland approximately 50 metres from the sea front and within easy reach of public transport facilities. The three-storey house was originally a residential dwelling and was converted to a care home in 1993. There is a passenger lift, which provides access to most areas of the home. A stair lift provides access to several bedrooms on the first floor that are inaccessible via the passenger lift. There are twenty-seven bedrooms, four of which are double although one is currently used as a single room. Eight single and two double rooms have ensuite toilet facilities however, some are not of a suitable size to allow access for wheelchair users or people with mobility difficulties. Corridors and door widths are wide enough to allow access for wheelchair users. The laundry, kitchen, dining room and lounge areas are all on the ground floor with the majority of bedrooms on the upper floors. There is a conservatory to the rear of the building, which overlooks the private and mature gardens. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced, and was carried out by one Inspector over one day. Before the inspection a questionnaire had been completed by the Interim Manager, which gave up to date information about the Home to allow more time to be spent with residents on the day. A tour around the home to check the cleanliness, health and safety matters, and maintenance and decoration was carried out. The Inspector spoke with sixteen residents, three visiting relatives, and ten staff including the Interim Manager, care staff and nurses, and the Provider. Lunch was taken with some residents in the dining room. A number of records and documents were examined including staff files. A new owner has recently taken over the Home and has met with and talked with staff, residents and relatives to identify areas and issues that are in need of priority and longer-term attention in the Home. He has developed a planned programme of redecoration and refurnishing of the Home. Not all standards were looked at this inspection and from those that were; five requirements and one recommendation were made. What the service does well: The Home delivers a good standard of care to the residents and the atmosphere in the Home is friendly and welcoming. The majority of staff have worked there for some time and are well-informed and knowledgeable about residents and their needs. Residents and relatives spoke very highly of the staff and of their caring and friendly approach. Some comments received from residents include: “They’re a wonderful lot, look after me well”, “The staff are all lovely” and “couldn’t get better staff to be looked after by”. Meals were said by all residents to be good and varied and the cook was highly complimented by them. Some residents said: “we get so much good food” and “the cook’s great, always comes to check our meals are alright”. Wear Court DS0000064820.V250092.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. Wear Court DS0000064820.V250092.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 Wear Court DS0000064820.V250092.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): 1, 4 The Home’s Statement of Purpose and Service Users Guide are adequate and provide information about the home and the service provided to enable prospective residents to be clear about the services the home provides, to meet their needs. This up to date information about the Home, with its recent changes, has not been made available to current residents. The Home’s assessment procedures and staff training and awareness of individuals’ needs, ensures that all resident’s needs are met. EVIDENCE: The Home’s Statement of Purpose and Service User Guide have been amended to reflect the new owner and Responsible Individual for the Home. They have been prepared in large print but both would benefit from being produced in a more user-friendly and interesting format. The Service Users Guide also needs to contain a copy of the previous inspection report and the complaints procedure. The Provider indicated that these issues would be dealt with and new formats prepared. A copy of the Service Users Guide has not previously been made available to all service users and should be. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 9 All of the residents spoken with and some visiting relatives spoke very highly of their needs being met. They stated that staff were very caring, pleasant and helpful and were committed to their work. Two residents’ gave examples of where their relatives who also lived in the home, had died, and of the care, support and understanding shown by staff during that period, and they said, “the staff couldn’t be faulted”. Staff training is provided to include areas such as dementia care and staff demonstrated a sound knowledge of residents’ needs and how they were met. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 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 the following standard(s): 9 Practices carried out during the administration of medicines do not promote and protect the safe storage of medicines kept in the trolley, or ensure that residents’ health care needs are met in respect of medicine administration. EVIDENCE: The policy/procedures and arrangements for medicines were not inspected on this occasion. However, some practices were observed that were inappropriate. The medicine trolley was left unlocked during a medicines administration ‘round’, not all residents were observed to take their tablets/medicine before them being signed for, and one member of staff was observed to handle a residents tablets with her fingers. These practices are potentially unsafe in terms of safety of medicines, confirming that residents prescribed medications are taken by them, and food hygiene. Wear Court DS0000064820.V250092.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): 15 The dietary needs of residents are well catered for with a balanced and varied selection of food available that meets their tastes and choices, and contributes to their health and well being. EVIDENCE: Lunch was taken with some residents in the dining room. The breakfast meal choices are full and varied and out of residents’ choice for a lighter meal, the lunchtime meal consists of soup, sandwiches and assorted cakes and fruit. With the exception of Sundays, the main meal is taken later in the day. Alternative choices are available at all mealtimes if requested. Residents who were spoken with confirmed that the meals were always good and varied and they could have as much or as little as they wished. They also spoke very highly of the cook who speaks with them at all mealtimes to confirm their satisfaction and discuss meal choices. The mealtime occasion was pleasant and sociable with good interactions evident between residents and staff. Staff were attentive and courteous and the meal was unhurried. Although staff have attempted to improve the dining area the room still did not offer a homely/domestic type environment as has been identified at previous inspections. The flooring and the tables set in rows Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 12 gave a ‘cafeteria’ type appearance. The provision of large round tables would enable residents to better interact with each other during mealtimes, and ‘glider’ type chairs would be more comfortable and safer for residents to move. These issues were discussed with the Interim Manager, and the Provider who stated that along with the other environmental improvements to be made, these matters would be considered. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 13 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 Local Adult Protection procedures have been implemented and in which staff have received training and demonstrate a good knowledge of Adult protection issues, which protects residents from abuse. EVIDENCE: There is a Protection of Vulnerable Adults (POVA) procedure in the Home and a Whistle blowing policy. The Local Authority Multi Agency Procedure for the Protection of Vulnerable Adults (MAPPVA) is also available in the Home for staff guidance. Staff have received training on the protection of vulnerable adults. Staff were able to describe and give a good account of appropriate actions to be taken on suspicion of, or witnessing abuse. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 14 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, 25, 26 The Home is generally clean and warm however, the overall quality of the furnishings and décor are poor and potentially dangerous, which could compromise the health and safety of residents, and does not promote good hygiene or create a pleasing and attractive environment in which to live. EVIDENCE: A partial tour of the premises was carried out. As identified at previous inspections the home is in need of major re-decoration, repair or replacement of furnishings, particularly armchairs that are worn, shabby and are broken in places, and attention to a number of maintenance issues. During this visit it was noted that a number of pull cords in bathrooms and toilets were grubby and knotted or too short to be accessible in the event of a resident falling to the floor, handles were missing from a toilet and a bathroom door, and doors to a linen cupboard and sluice room were left open with the keys in place. A number of water taps were dripping in toilets and bathrooms, paintwork was in need of paint or varnish to make it impermeable and enable effective cleaning. A number of light bulbs were missing from a chandelier light fitting in a lounge Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 15 and the lux lighting levels in one lounge and part of the dining room were dim and must be checked to ensure that the lighting is at the minimum level of 150 lux. The Manager said that new flooring had been laid in the laundry but this work has not been completed. The new Proprietor has identified the above requirements and has a programme in place to address the issues, in which he has indicated timescales and priority areas. The programme has commenced with external work to the building but it is strongly recommended that urgent and priority attention is given to the armchair furnishings and those chairs that are in need of repair, which should be removed to avoid the risk of accidents to residents. The Provider has also agreed to provide some facilities requested by some residents such as SKY television, and consider others such as shower facilities in response to their needs and preferences. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 16 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 Staff morale is good despite changes in management arrangements and recent new ownership of the Home, resulting in a workforce that works positively. The procedure for the recruitment of staff does not provide all the appropriate safeguards to offer protection to people living in the Home. EVIDENCE: Nursing and care staff were spoken with and gave good accounts of the needs of the residents living at the Home and how they were met. Residents spoken to said staff were very kind and caring and were always there when they needed them. Some visiting relatives were also very complimentary about the care provided by the staff and one said that they felt that their relative was “in good hands”. Two staff files were looked at and indicated that Criminal Records Bureau (CRB) checks had not been returned before they took up appointment. The staff have now been in post since the previous management but the need to ensure all appropriate checks are available prior to employment was discussed with the Interim Manager. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 17 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, 38 The current manager is carrying out the role for an interim period but has the experience and skills to competently and effectively run the home. Some facilities in the Home, and health and safety practices carried out do not fully promote and safeguard the health, safety and welfare of the people living there. EVIDENCE: The Interim Manager has been in this post since April this year. She has worked at the Home for 12 years and has been the Deputy Manager for 9 years. She has the appropriate qualifications and experience to run the Home and staff and residents indicated that she was supportive and gave clear management direction. The Provider also spoke of the support she has given to enable the new ownership process to run smoothly, by ensuring that the Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 18 morale and commitment of the staff was maintained and consistent and appropriate care was given to residents. The Provider is actively advertising order to recruit a permanent manager for the home who has extensive knowledge; skills and experience in care home management. This should be pursued and application made to CSCI to register the manager, when an appointment is made. Records indicate and staff confirmed that they receive training in health and safety matters. These include Control of Substances Hazardous to Health (COSHH), fire safety, moving and handling, first aid, control of infection and food hygiene. Staff practices regarding moving and handling and food safety were observed to be satisfactory, however the issues reported earlier regarding fire doors and pull cords potentially compromise residents safety. The matters of maintenance within the environment also indicated earlier in the report, also potentially compromise residents’ safety and welfare. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 1 X X X X X 2 2 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 2 Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 20 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 2 Standard OP9 OP19 OP25 OP26 Regulation 13 (2) 23 Requirement The safe storage and administration of medicines must be ensured at all times. All matters concerned with the safe environment, décor and furnishings must be addressed within the planned programme. (Previous timescale of 31/1/05 not met by previous Provider). Persons must not be employed in the home unless all appropriate checks are carried out to ensure the protection of service users. The Registered Person must pursue the appointment of a permanent manager who must apply to be registered with the CSCI. (Previous timescale of 11/11/04 not met). The Manager must ensure that doors to areas where there are potential hazards are kept locked and pull cords are accessible to residents in the event of an accident. Timescale for action 13/09/05 31/03/06 3 OP29 19 13/09/05 4 OP31 8 31/03/06 5 OP38 13 (4) 13/09/05 Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 21 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 Refer to Standard OP1 Good Practice Recommendations The Statement of Purpose and Service Users Guide should be presented in a more user-friendly style and format to assist service users in accessing information about the Home. Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Wear Court DS0000064820.V250092.R01.S.doc Version 5.0 Page 23 - 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!