Inspection on 03/10/08 for Welland House

This inspection was carried out on 3rd October 2008.

CSCI found this care home to be providing an Good service.

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

Welland House 14/11/07

Welland House 18/07/07

Welland House 12/02/07

Welland House 17/01/06

Welland House 23/08/05

Welland House 14/01/05

Welland House 15/09/04

Welland House 14/01/04

Similar services:

Claremont House

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Sun Court Nursing Home

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Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Welland House Poplar Avenue Dogsthorpe Peterborough PE1 4QG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Dragan Cvejic     Date: 0 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Welland House Poplar Avenue Dogsthorpe Peterborough PE1 4QG 01733345421 01733563209 cathy.wiseman@peterborough.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Catherine Wiseman Type of registration: Number of places registered: Peterborough Primary Care Trust care home 54 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Welland House is situated in the Dogsthorpe area of Peterborough. The home is a single storey building which has been purpose-built and offers accommodation to up to fifty-four elderly people of both genders. The home recently extended their services by increasing the number of people with dementia that were looked after in the home. The home was also offering respite care. Built about twenty years ago, the home is divided into six self-contained units, each comprising lounge, dining and kitchen areas, single bedrooms, bathrooms, toilets and a sluice. An extension, registered in 2004, has four single rooms, each with an en-suite toilet, washbasin and shower, as well as a lounge/dining room with a kitchenette area. There is a large lounge in the centre of the home, a main kitchen, laundry, offices and staff facilities. A part of the building is used Care Homes for Older People Page 4 of 24 Over 65 17 37 0 5 0 3 Brief description of the care home as a day centre that is not run from the home and has different staff and management. The home is set in pleasant gardens and is within walking distance of local shops, pubs and churches, and a few minutes drive from the centre of the city of Peterborough. Good road and rail services link Peterborough to London and other major cities. The reports published by the Commission are available in the entrance hall and individuals can be given their own copy if they request. The fees are negotiated on individual basis. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The service was last inspected on 14/11/07. Since then they have been informing regulators through regular reporting of accidents/incidents and events that affected people who use the service. This unannounced inspection took place on 01/10/08 in the morning hours. We case tracked 2 users of the service, checked four users files, observed 4 users receiving care, spoke to 5 people who use the service, to a visitor, staff and the manager. We also checked some policies and general files kept in the home. We checked the medication records and observed staff administering medication. A tour of the home gave us an opportunity to check the environment. Care Homes for Older People Page 6 of 24 Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided information about services and provisions allowing users to make an informed choice. Evidence: The manager stated that she was just in the process of up-dating the statement of purpose with added information on Dementia care being a part of the Mission Statement. The report from the last inspection was available next to the managers office. The home kept separately initial assessment forms for users that have been in the home for a number of years and in the main file for those that moved in recently. This was seen in 4 checked files. The initial assessment as a part of the initial assessment process contained information from social services too, thus providing more relevant details used to create a care plan for each individual. Meeting users needs was evidenced in their records, but also in comments collected Care Homes for Older People Page 10 of 24 Evidence: by the home: At the end of his respite period in the home, my dad did not want to leave. When spoken to about meeting their needs 2 people that use the service responded: Yes, this is a nice place to be in. Staff are excellent. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensured service users health care needs were met, but at the same time respected their privacy and dignity. Medication procedures were appropriate and protected service users. Evidence: An innovative initiative to create a brief, concise and easily accessible summary of care plans, helped all staff, including the agency staff engaged to work here, to learn more about each individual and to treat them with better respect. Four files with care plans demonstrated that plans were accurate, detailed, consistent with daily records and risk assessments. The plans were either signed by the poeple they referred to, or by their relatives if they could not sign, but agreed for relatives to share information about their needs and care. One of the case tracked users stated: I cannot sign my care plan, but they discuss it with me. The review dates showed that the plans were reviewed monthly. Health care needs were well described and, when there was a need, the records showed that the home reacted. A user was rapidly loosing weight, as a sign of general Care Homes for Older People Page 12 of 24 Evidence: health deterioration. A GP was asked to attend the day after the extraordinary review. A staff member was observed administering medication to a user of the service. Procedure was followed. Records were checked for 3 users and all were accurate and correct. Storage of medication was appropriate. Privacy and dignity were fully respected. All users spoken to stated that the agency staff engaged were the same people and that they knew each other, thus ensuring not only the consistency of care but the better respect for individuals. A user was observed using a payphone, independently, confidently, desipte the fact that she was in a wheelchair. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home completely met service users needs in this area. All service users spoken to were very happy with provisions of activities and food provided in the home. Evidence: I have been here for three years. This is a much better place than my bungalow, where I lived before. Staff are excellent, agency staff are also good, they know me. I like watching TV and that is respected. It is nice and clean, stated a user spoken to during the site visit. My dad did not want to leave after his respite stay here, stated a relative in her comments. The list of activities was displayed next to the entrance to the day centre. It was nice to see a Welland House Shop, next to the entry to a day centre, with a choice of toiletries, snacks books ect. It resembled a small local shop in the community. No restriction of meal times and individual kitchenettes in each unit also created a homely atmosphere. Two users were seen leaving the home for a walk, going out free and unrestricted. A visitor stated that he always felt welcome in the home. I come here at least once a week and all seem fine, he stated when spoken to. Care Homes for Older People Page 14 of 24 Evidence: He pointed to a personal clock he bought for his sister in the home and both were happy that personal possessions could be brought in. A staff member knew that this was a personal item in users room. A user stated: I am so happy, a lady cleaner has found my ring somewhere on the floor and returned it to me. I was looking for it all the previous day. Menus checked showed a variety of approximately ten different meals and all users spoken to stated that they could choose what to eat. All spoken to praised the food for quality, quantity and presentation, thus marking the exceeding standard in this area. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users were protected by the procedures set and respected in the home and with their own knowledge of the complaints procedure. Evidence: The manager stated that the home was dealing with one complaint. During the further discussion, it was explained that this complaint originally started three years ago. The same complainant approached the regulator, the CSCI (Commission for Social Care Inspection). The complaint was dealt with by the senior management team, above the homes management structure. The written procedure was displayed next to the entry to the home and was clear and accessible. POVA (Protection of Vulnerable Adults) training was added to the induction, thus ensuring better protection of service users. There were no allegations or issues requiring referrals to POVA register. Staff were aware of the procedure and two of them spoken to during the site visit stated that they knew about Whistle blowing policy. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users enjoyed a well maintained, well equipped and clean and bright environment. They were listened to when changes and regular maintenance was organised and executed. Evidence: Location of the home was appropriate and allowed users of the service to go out unaccompanied, without creating a high risk to them. Two users were seen just leaving the home for a short walk during the site visit. Grounds were well maintained, as well as the internal parts of the home. The use of CCTV (Close circuit TV) did not intrude on users privacy, as it was used to observe parking in front of the home. The home was inspected by the Environmental Health Department and was given the highest rating. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensured safety for service users by employing sufficient, trained and appropriately vetted workers, creating a rota that corresponded to users identified needs. Evidence: Staff rota showed appropriate staff cover was planned and ensured. The home engaged the agencys staff to cover for absences. Recent increase in staffing level to accommodate increased needs of people that live here and have developed dementia was welcomed by both the staff and users of the service. There is enough staff and they are excellent, commented a user when we spoke to her. The manager presented the record of staff qualifications. With current attendance, the total percentage of staff with NVQ (National Vocational Qualification) exceeded 50 . Three staff files were checked during the inspection and showed that new contracts were issued when the home was transferred from local authority to the NHS. All required checks were conducted and files contained the application form, two references, CRB (criminal Records) and POVA (Protection of Vulnerable Adults) checks. Staff induction was expanded to include training on POVA and dementia care. Training records showed that staff received regular update training on mandatory subjects and extra training included subjects such as Mental Capacity Act and Dignity in Care Homes. Care Homes for Older People Page 18 of 24 Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users were well protected by the safe working practices in place. Evidence: The manager was working in this position for several consecutive years and ensured stability of day-to-day operation of the home. She completed the Advanced training on POVA (Protection of Vulnerable Adults) that allowed her to train the rest of the staff on that subject. The last quality assurance review was conducted the year before, but new questionnaires were sent out and a planned review was to be conducted soon. Meanwhile, comments from people that used the service, their relatives and other visiting professionals were constantly sought. All users of the service spoken to commented that they felt happy with the current arrangement for handling their money. Some preferred their relatives to do that for them, while some opted to control their money themselves. Some relied on the organisations system that also was in place with the set procedure that protected Care Homes for Older People Page 20 of 24 Evidence: users and their money. Supervision records were on the notice board in the office and showed regularity of these sessions. The staff spoken to confirmed that they were supervised about once every two months. Safe working practices were in place. Observation of staff working with users of the service demonstrated that staff were confident in applying the set procedures, such as moving and handling, to protect service users. The tour of the home showed that cleanliness and measures for infection control were in place. Accidents/incidents were properly recorded and reported when there was a need to report. The home was inspected by the Environmental Health Department and was awarded a score rating of 4 stars, making everyone in the home proud of this achievement. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!