Inspection on 08/03/06 for Wellfield

This inspection was carried out on 8th March 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wellfield 20/02/07

Wellfield 16/08/05

Wellfield 07/12/04

Wellfield 14/07/04

Wellfield 10/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Wellfield 200 Whalley Road Accrington Lancashire BB5 5AA Lead Inspector Mrs Lynn Mitton Unannounced Inspection 8th March 2006 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 Wellfield DS0000009425.V281554.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. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wellfield Address 200 Whalley Road Accrington Lancashire BB5 5AA 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) 01254 235386 01254 237022 Wellfield & Henley House Ltd Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service shall, at all times employ a suitably qualified manager who is registered with the Commission For Social Care Inspection. 16th August 2005 Date of last inspection Brief Description of the Service: Wellfield is registered with the Commission for Social Care Inspection to provide accommodation and personal care to 29 older people. The property is Victorian and set in well maintained gardens. The home is located on the main Whalley Road and is close to local shops, and is on a main bus route to all areas of Hyndburn. Accommodation is provided 27 single rooms and one shared double room. Fourteen of the single rooms have en-suite facilities. There were four communal lounges and a dining room/conservatory. Smoking is permitted in a specially designated area. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and lasted approximately 6 hours. There were 27 residents accommodated at this time. A tour of the communal areas of the home took place. Over the course of the inspection three of the staff on duty, approximately 12 residents plus the registered provider and deputy manager were spoken to, and interaction between the residents and staff members were observed. Throughout the report there are various references to the “case tracking” process, this is a method whereby the inspector focuses on a small representative group of service users and care staff. Records pertaining to these people were inspected. Policies and practices were also read. What the service does well: One resident’s relative told the inspector “ We visited 2 or 3 other homes and picked this one – we are very happy with dad’s care”. The administering of medication safeguarded residents and care staff. From observations, the inspector felt that staff knew service users needs well, and they were treat with dignity and respect. Staff spoken to were aware of their role to protect the residents in their care. The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean, and free from offensive odours. There were sufficient care staff on duty during the day and night at Wellfield House. Procedures for recruitment of staff and checks to safeguard service users were in place. Resident’s finances were dealt with either by the residents or their family. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 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. Wellfield DS0000009425.V281554.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 Wellfield DS0000009425.V281554.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): OP2 & OP3 A written contract, explaining the responsibilities of both parties, had been issued to each resident case tracked. Service users were informed on admission that Wellfield House could meet their needs. EVIDENCE: Contracts explaining the terms and conditions of residents stay at Wellfield House had been implemented. The resident’s case tracked both had a contract on their file, which had been signed, by the registered person and the resident or their next of kin. The fees and room occupied by the resident had been completed. The inspector advised that this document should be dated. The inspector noted that the 2 residents case tracked had been informed in writing that the home could meet their needs. A pre-admission assessment had been completed for one resident. Assessments had been completed for both residents by the funding authority. Wellfield DS0000009425.V281554.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): OP7, OP9 & OP10 Some records regarding personal care and health interventions should be documented on the care plan. The administering of medication safeguarded residents and care staff. From observations, the inspector felt that staff knew service users needs well, and they were treat with dignity and respect. EVIDENCE: Since the last inspection, the care plan’s case tracked had been regularly reviewed. The inspector and registered person discussed the content of the daily records, and the practice that some information about residents was being kept separately to the care plan, for example, bowels, bath, and foot care details. Medication was administrated by a monitored dosage system. The inspector examined the medication storage area and medication administration records. These were in order. On the care plan’s case tracked consent of administration of medication forms were seen. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 10 Residents spoken to told the inspector that they were spoken to and treat with dignity and respect and gave examples of this. The inspector observed positive, caring and respectful interaction between service users and care staff. One resident said; “Its lovely here – the girls are great”. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 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): OP12, OP14 & OP15 A regular programme of planned activities would ensure that residents had opportunities for enjoyment, mental and physical stimulation. Residents could be given more opportunities to exercise choice and control in their day to day living. The reviewing of practices in serving of food would improve mealtimes. EVIDENCE: The promotion of individual and group activities was discussed with the registered person, and a record of activities on offer should be recorded. The inspector and registered person discussed resident’s exercising choice and control over day-to-day elements of their lives. For example, an number of residents told the inspector that the hairdresser was unreliable and did not always attend when expected. 2 residents sat next to each other were observed getting very irritated with each other. Both these issues were discussed on the day of the inspection. One resident told the inspector that he was bored sometimes. The inspector noted the 4 week rotating menu, this demonstrated a well balanced diet. Each day’s menu was written in the dining room on the wipe board for residents benefit. The inspector ate lunch with the residents on the day of the inspection, and the inspector noted some practices that needed Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 12 further consideration. For example, one resident who was partially sighted had difficulty locating different foods on her plate and, puddings were served before most residents had completed their first course. Residents told the inspector “we get a lot to eat – I can never finish mine!” and “I get my breakfast in bed” and “the food is lovely here”. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 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): OP18 Staff spoken to were aware of their role to protect the residents in their care. EVIDENCE: Staff spoken to could identify different types of abuse and knew what to do if they observed abusive behaviour by a colleague or resident. Staff spoken to on the day of the inspection discussed with the inspector issues of concern (previously reported) regarding the management of one resident, whose behaviour was challenging. This was also discussed with the registered person. One residents relative told the inspector “ I’m very happy with the care my mum gets here – if I ever have any problems I just talk to the home owner”. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 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): OP19 & OP26 The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean, and free from offensive odours. EVIDENCE: The inspector toured the communal areas of the home. The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean, and free from offensive odours. The inspector was advised that general ongoing maintenance to ensure the upkeep of Wellfield House continued. One resident said; “my room’s smashing”. Wellfield DS0000009425.V281554.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): OP27, OP28 & OP29 There were sufficient care staff on duty during the day and night at Wellfield House. 32 of care staff were trained to NVQ level 2 standard. Residents will benefit once more staff are trained to NVQ level 2 standard. Procedures for recruitment of staff and checks to safeguard service users were in place. EVIDENCE: The staff rota was seen by the inspector – this indicated that there were 4 care staff on duty between 8am and 10pm each day and between 10pm and 8am there were 3 wake and watch staff on duty, plus one member of management on call. The inspector was advised that 7 out of 22 care staff had obtained their NVQ 2 care qualification. A further 7 care staff were undertaking this training at the time of the inspection. 2 staff personnel files were case tracked and found to have in place the documentation required by legislation. The inspector advised the registered person of POVA 1st checks and that these must be completed prior to any staff member taking up employment at Wellfield House. Wellfield DS0000009425.V281554.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): OP35 and OP38 Resident’s finances were dealt with either by the residents or their family. The homes electrical wiring must be routinely checked in order to safeguard the health and safety of the residents and staff team. Moving and handling practices must be reviewed to ensure the health and safety of residents and care staff. EVIDENCE: The registered person was not appointee for any residents; nor did she have any involvement in resident’s personal allowances. There were no issues of concern regarding service users finances. The inspector noted that the fire system had last been independently checked within the last 12 months. The last fire drill had been conducted each month since the previous inspection. There had been a Gas Safety check completed in September 2005. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 17 A portable appliance test had been completed in September 2005, however the 5-year electrical wiring certificate had expired in December 2005. The inspector and registered person discussed the moving and handling of one resident, who was seen to be moved by an ‘underarm’ lift. This type of handling can cause dislocation of the shoulder or damage to the brachial nerve and should be discontinued. Wellfield DS0000009425.V281554.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 3 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 2 15 2 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 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 19 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. Standard OP3 Regulation 14(1) Requirement The registered person must assess the needs of prospective residents prior to their placement at the home. Records regarding personal care and health interventions must be documented on the care plan. The registered person is required to ensure that a minimum of 50 of staff who deliver personal care to service users achieve a NVQ Level 2 in Care Award. Unnecessary risks to the health and safety of the service users are identified and as far as possible eliminated. Timescale for action 28/07/06 2 3. OP7 OP28 15 18 (1a) & (c) 28/07/06 01/09/06 4. OP38 13(4 b&c) 28/04/06 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 Good Practice Recommendations Standard 1. OP12 Regular, planned activities should be undertaken within the home and records of these should be made. 2. OP14 Residents should be helped to exercise choice and control over their day to day lives. 3. OP15 Residents needing support whilst eating should be offered this with sensitivity and discretion. Food should be served only once residents have finished eating the previous course. Wellfield DS0000009425.V281554.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Wellfield DS0000009425.V281554.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. 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