Inspection on 07/02/07 for Wellhay Resource Centre

This inspection was carried out on 7th February 2007.

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

Wellhay Resource Centre 24/02/06

Wellhay Resource Centre 30/07/05

Wellhay Resource Centre 03/02/05

Wellhay Resource Centre 02/09/04

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

CARE HOMES FOR OLDER PEOPLE Wellhay Resource Centre Knole Lane Bristol BS10 6GH Lead Inspector Sandra Garrett Key Unannounced Inspection 7th February 2007 09:30 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 Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 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. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellhay Resource Centre Address Knole Lane Bristol BS10 6GH 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) 0117 3772591 Bristol City Council Christine Ruth Bryant Care Home 10 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (8) of places Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate 8 persons aged over 65 years of age with Dementia May accommodate 2 persons aged 50 years and over with Dementia Two un-named persons with dementia aged over 50 years may receive respite care at the Centre 24th February 2006 Date of last inspection Brief Description of the Service: Wellhay Resource Centre is run by Bristol City Council. It is registered to give personal support and respite care (for example to support service users who may have been ill or to give relatives a break) for eight people who are over 65 and two people over 50 years. All service users accommodated have a diagnosis of dementia. Wellhay is purpose built and runs a regular day care service for up to 24 people with dementia. The premises are accessible for disabled older people and there are a number of vehicles available for the centres use. A team of mental health and social care professionals supports the centre and meets regularly to discuss service user issues and offer places to them. The centre has its own transport that picks people up and takes them home again each day. The day care service is free. However fees apply for those staying at the centre. The full fee is £584.99 per week and a sliding scale applies depending on service users incomes. The inspection report was seen displayed in the centre and the manager said that relatives say that they also see the report on The Commission for Social Care Inspection’s website. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key or main inspection that took place over one day. Four service users were spoken with together with the staff team that was on duty. Six relatives filled in survey forms given out at this visit and one GP also filled one in. A range of documents was looked at including support plans, complaints, staff training, health and safety and accident records. Eleven service users spent the day at the unit for their regular day care. What the service does well: Wellhay provides a community resource for people with dementia and their relatives. The premises are physically accessible with a high standard of decoration and furnishings. The centre gives a secure, homely and comfortable place to stay for people who need respite care. Service users are properly assessed before coming in to the centre for respite care so that their needs are identified. Specialist needs are met as far as possible and wherever necessary. Regular activities are a feature of Wellhay and evidence was seen of this from photographs on one wall and from reading service users’ daily records. Activities for people with dementia are given as a form of occupational therapy. They take place daily for both day care users and those staying at the centre. Regular meetings for relatives where they can discuss concerns and current issues and get support are also a feature of the centre. Where possible service users are supported to be able to preserve their lives in the community. Service users are free to choose how to spend their time whilst at the centre. Meals at the centre are well managed and give good nutrition and social contact for people. The centre staff give a good standard of personal care to service users. Good staffing levels enable them to provide social support. They do this through escorting service users to and from the centre, ensuring that all is well at home and working at activities that keep them stimulated and engaged whilst at the centre. Continuing training to National Vocational Qualification in Care level 3 makes sure staff are able to meet service users needs properly. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 6 A trained and experienced person who understands service users’ needs and the inspection process, manages the service well. Service users’ health and safety is protected by clear policies and regular procedures that keep them safe. What has improved since the last inspection? What they could do better: Three requirements and two good practice recommendations were made at this visit: From records seen it was not clear if the gardener/handyperson had done any recent safeguarding adults training. Further the manager had not done the training for over three years. All staff must attend the proper training to make sure that service users continue to be protected from abuse or risk of abuse. The outside frames of all the centre’s windows were seen to be in need of repair and re-varnishing. The centre looked shabby from the outside and didn’t reflect the high standard of decoration inside. Further, the centre wasn’t very warm at this visit and one service user said s/he was cold even though the heating was on. It was noted that the wooden frame windows are all single glazed that leads to heat escaping. Service users are entitled to stay in properly cared for and looked after accommodation that meets their needs. Staff spoken with said that although they had done training in dementia care they would like regular updates to make sure that they can go on meeting service users’ needs properly. Staffing records seen didn’t show when dementia care training had happened but staff said it was over two years for many of them. Staff must be offered regular updates in dementia awareness and care from a suitable training provider, to make sure they keep up with current trends and are able to meet service users’ needs properly. On checking supervision records it was clear that supervision isn’t happening regularly enough according to the centre’s own policy. Staff must have regular opportunities to discuss their work so that they can make sure service users get the best possible care and protection. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 8 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 Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are properly assessed before coming in to the centre for respite care so that their needs are identified. Specialist needs are met as far as possible and wherever necessary. EVIDENCE: Copies of Adult Community Care pre-admission assessments were seen for the four service users staying at the centre during this visit. The assessments were clear and detailed and gave information about the service users’ lives at home and in the community, the support they get and their need for short-term care. Copies of higher level care plans that showed their needs in relation to their dementia were also seen. Information from assessments and care plans had been transferred into the centre’s own support plans. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 10 At the daily meeting held to discuss service users’ needs (both for those staying and those coming for day care) it was noted that one person was coming to the centre to have a look round before deciding whether to come regularly. The manager attends a weekly meeting made up of mental health and social care professionals that also discusses the needs of service users and helps decide who should be offered short-term care. The specialist needs the centre helps to meet are to do with service users’ dementia. The ethos of the centre is to try and give service users an experience that matches their own level of understanding and ability and empowers them to be able to keep what skills they have. This is done by regular, person-centred activities and one to one care. The centre is also physically accessible to disabled older people and visitors. It is set out all on one ground floor level, with aids, equipment and furnishings to meet people’s access needs. These include automatic self-opening front doors, walk in shower and accessible bath, grab rails throughout the centre and clear signing on toilets and bathrooms. Other needs are met on an individual basis e.g. cultural diets and suitable reading material for both people with dementia and those with sight impairments. Although the centre offers short-term care it is not equipped to give intermediate care. Therefore this standard doesn’t apply. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records show that service users are looked after well in respect of health and personal care needs. Clear medication records show that service users medication needs are well managed. Service users are treated with dignity and respect. EVIDENCE: Support plans were seen for each service user staying at the centre. The plans have a list of needs, some or all of which are then written up. The needs listed include: Personal care and physical wellbeing Diet, weight and food likes and dislikes Sight, hearing and communication Oral health and foot care Mobility and co-ordination History of falls Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 12 Continence Medication Mental state and understanding Social interests, hobbies, religious and cultural needs Personal safety and risk Carer, family involvement and other social contacts and relationships. One service user’s care plan was very brief and had little detail about how needs were to be met. The manager said the service user had just come into the centre and the key worker doing the care plan was on leave so it will be done later. She further explained that the needs were being met from the preadmission care plan and daily records. The other three care plans seen were very detailed and matched the preadmission assessments and care plans. The plans showed how the care was being given in line with what the service users could do for themselves and taking into account their own abilities. Healthcare records showed that service users were being well looked after in respect of their health. A GP from a local practice visited on the day of inspection and saw a service user who staff felt was unwell. This GP later filled in a survey form for this inspection that was positive about her/his experience of the home. S/he ticked ‘yes’ to the question about satisfaction with care given to service users overall. Letters from healthcare professionals were seen in some service users’ records. Staff had phoned the relatives of one service user to find out when s/he had last had an eye test. If chiropody is needed a local chiropodist is called in (although this service isn’t included as part of the fee). A medication check was done. Medication is kept in a locked room close to the office and all is stored in a locked cupboard. Three service users’ medications were being given out from their own boxes brought in with them. One service user had separate, loose boxes for medication. All were labelled and within date. Medication administration sheets were seen properly filled in and signed when it had been given. Medication treated as controlled and therefore to be kept more securely, was seen locked in a cupboard within the main cupboard. Numbers of tablets remaining were correct and recorded in a separate book with signatures of the staff giving the medication and also those witnessing it. A separate fridge for medications was seen with a minimum/maximum thermometer inside. The fridge temperature book was seen properly recorded and signed twice daily. The temperature at this visit was correct. The GP surveyed for this inspection agreed that medication is properly managed in the home. Service users were seen being treated with dignity and respect during the visit. Staff showed high levels of understanding about the needs of people with Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 13 dementia and it was clear both service users and staff enjoyed good relationships with each other. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The centre continues to provide service users with the opportunity to experience a stimulating and varied life where various formal and informal activities happen daily. Where possible service users are supported to be able to preserve their lives in the community. Service users are free to choose how to spend their time whilst at the centre. Meals at the centre are well managed and give good nutrition and social contact for people. EVIDENCE: A large board with lots of photographs of service users was seen in one of the main corridors. The photos showed service users taking part in daily routines i.e. ironing or making Christmas decorations, or having made Easter bonnets. Lots of photographs showed service users just enjoying each other’s company or that of staff. Daily records gave information about individual service users’ Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 15 enjoyment of activities and entertainment particularly quizzes, reminiscence sessions, talking about their lives and musical entertainment. Records of how service users enjoyed the events arranged for Christmas (the centre was closed on Christmas day and Boxing day) and New Year’s Eve were seen, that gave good information about them. Activities happen daily for both day service users’ and those staying. A day service user was seen playing pool with a staff member and others were seen enjoying conversations with each other and staff throughout the day. One relative commented in the survey form filled in: ‘There is a good social programme with lots of stimulating activities for users’. The manager said that there is little involvement in the centre from the local community although a music therapist comes in to do one to one sessions with individual service users. Visitors are able to come into the centre at any time and a regular relatives/carers meeting is held that has different speakers and discussions. These meetings offer support to relatives/carers to enable them to go on caring for the service user. Staff act as escorts to go and pick up day service users and take them home again. This helps staff to pick up any issues service users face in their own community. Service users can choose what to do whilst they are at the centre and it is run in a relaxed way. Service users were seen sitting in the lounge, watching TV or purposefully walking about. Those spoken with at this visit said there is always something to do if they want. The menus sent in with the pre-inspection questionnaire showed that roast dinners are a feature of the midday meal. A choice of menu is always available if a service user requests something different. The manager said that service users love the roast dinners and it means they get a substantial meal, particularly if they are going home alone. Service users asked as part of our survey at this visit said they ‘always’ like the meals and one said ‘lovely meals!’. Other hot dishes are offered at teatime four times a week and include: fish and chips, hot pies and pasties, scampi and salad or eggs, chips and beans. At this visit the main meal of the day was roast turkey with all the trimmings and a choice of three vegetables. The meal was hot, tasty and nutritious and all service users were seen enjoying it. A choice of hot and cold desserts was available and most service users enjoyed fruit sponge and custard. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The low level of complaints received shows that service users and their relatives are satisfied with the care given at the centre. Arrangements for protecting residents from harm don’t fully make sure that service users are protected from abuse as far as possible. EVIDENCE: The centre’s complaints record was looked at and no new complaints had been made during the year since the last inspection. In fact no complaints had been received for the last three years and this had been reported on in each inspection. From the number of ‘thank you’ cards seen it was clear that relatives and carers are very appreciative of the care given to service users. The regular carer support group meetings also help relatives discuss any potential concern they may have and get information about the service. Service users spoken with said they knew who to tell if they had any problems or concerns although one said s/he was ‘unsure who to speak to’. From relatives’ surveys received for this inspection all said they were aware of the complaints procedure and had never had to make a complaint. Since the last inspection the inspector had been kept informed of any situation that may have led to service users being abused. Some service users show challenging behaviour that is part of their dementia and this can have an effect Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 17 on others. The inspector had attended protection-planning meetings held at the centre to decide ways of keeping service users safe from risk of abuse from other residents. Action is taken quickly if behaviours deteriorate and service users are at risk. From the record of staff training seen at this visit it was clear that the majority of staff had done safeguarding adults from abuse training within the last three years. However some staff had no record of such training, including the gardener/handyperson. Further, the manager had not done this training since 2003. It is recommended that training sessions are organised for those that had no clear dates of having attended it and that the manager should attend the managers’ safeguarding adults training. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ benefit from staying in an internally well decorated and maintained centre that meets their needs. However action must be taken to make sure the windows around the building are suitable to keep service users warm and safe. Service users stay in a hygienic, fresh smelling and pleasant environment. EVIDENCE: Internally the centre shows a high standard of décor and repair. The dining room and one lounge had been decorated since the last inspection and the manager said service users were consulted about the choice of wallpapers. The hairdressing room had also been decorated to look like a proper salon. Two service users were seen having their hair done there. All bedroom, toilet and bathroom doors were unlocked, as were the craft and music rooms. The centre Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 19 also has a kitchen where service users can practise daily living skills and make drinks if they wish. There are numerous areas around the home that service users can sit in comfort although most were seen in the main lounge. The home smelled fresh and clean at this visit and the bathrooms, toilet and laundry room were all cleaned to a good standard. However the outside of the building is a different matter. The home has a lot of windows making it very light and airy inside. However the windows are wooden and single glazed. The home felt very cool inside and one service user said s/he felt cold. The manager said the boiler is in the care home that is next door to the centre and is regularly serviced and maintained. Because of the number of single glazed windows, heat may escape making the building feel colder. Further, the wooden frames looked in need of repair and there were many places where the varnish had worn away altogether giving the impression of a building that is not well looked after. This in itself contradicts the high standard of décor inside the building and should be improved. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff are employed in sufficient numbers to meet service users’ needs. Continuing training to National Vocational Qualification in Care level 3 makes sure staff are able to meet service users needs properly. Further training in dementia awareness and care is needed to make sure staff stay up to date with current trends and are able to look after service users with specialist needs well. EVIDENCE: Four care staff were on duty during this visit. Two care staff had acted as escorts to pick up day service users in the bus provided for this purpose. The rotas were looked at. Care staff do a range of different shift times i.e. 8am4pm, 9am-1pm or 10am-6pm that gives cover throughout the busy times of the day. Agency staff are used but only to cover sickness and annual leave. Staff spoken with confirmed that the centre is well staffed and that there are enough staff on duty to deal with any situation that might arise. From the preinspection questionnaire sent in before the visit, it was noted that staffing hours available more than meet the dependency levels and needs of service users. This is good practice. The GP surveyed for this visit commented that staff show a clear understanding of service users’ care needs. From relatives Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 21 surveys received positive comments were made about staff: ‘ Have always been made very welcome, excellent rapport with staff who always give the utmost care and attention to all users’ and: ‘Have found Wellhay and all staff to be helpful, kind and attentive to all their needs’. Staff also confirmed their National Vocational Qualification in Care (NVQ) qualifications. From the pre-inspection questionnaire sent in before the visit it was noted that five staff have Level 2 or above and eight others are currently doing it. Staff said that they all have or are doing Level 3. The Deputy manager is a National Vocational Qualification in Care assessor and works with staff to help them achieve the qualification. Personnel records are kept in each staff member’s file at the centre. An inspection of the City Council’s personnel department will be done at another time and staff records will also be looked at there. Each staff member has their own separate file that contains all their personnel documents, training profiles and certificates, induction and supervision records, proof of identity and photographs. Training records were looked at. Thirteen staff have done medication training and eighteen hold a current First Aid certificate. From the pre-inspection questionnaire it was noted that future training courses planned include: team building and team dynamics, dealing with challenging behaviour and mental health issues affecting older people. Staff spoken with said that they had done two-day training courses in Dementia awareness and care although they said this was over two years ago. The list of training courses attended seen for each staff member didn’t include Dementia care training so it was hard to know when staff had done it. Staff should have regular updates in Dementia awareness and care so that they can keep up to date with how to care for this group of service users. Individual staff training records showed that lots of training had been done particularly in Equalities issues i.e. race, disability, age, gender and sexuality. This is good practice. All staff had done moving and handling and fire safety training. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A trained and experienced person who understands service users’ needs and the inspection process, manages the service well. Service users and their families are able to comment about their satisfaction with the centre and their views and opinions are respected. Supervision sessions must be held more regularly to make sure service users care get consistent care and staff are able to talk about their work. Service users’ health and safety is protected by clear policies and regular procedures that keep them safe. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager of Wellhay, Ms Christine Bryant, is trained to NVQ Level 4 and also has the Registered Managers Award. She has many years experience of managing care homes for people with dementia. Ms Bryant was welcoming and open to the inspection process and has an open and person-centred management style. Relatives surveyed for this inspection said that the manager and staff welcome them into the centre at any time. Further the GP who visits the home also commented in a survey that the home communicates clearly, works in partnership with her/him and there is always a senior staff member to discuss issues with. The manager said that she is about to do more training within the next two months that will include: Health and safety, Age discrimination, fair selection in recruitment, moving and handling and basic food hygiene for managers. Relatives are consulted about care issues at the regular carers support group that is held monthly. Speakers are invited to the group to give talks on matters of interest and the inspector had attended one such meeting to speak about the inspection process. Relatives surveyed for this inspection said that they are aware of forthcoming inspections but don’t always have access to inspection reports (although the latest one was seen displayed at this visit). The manager said that some relatives say that they look at inspection reports on the Internet. The team manager visits the centre monthly and his reports are sent to the Commission as required. The manager said that the centre wasn’t holding any money for the four people staying there at the time of inspection. Because service users come in for short stays family members or carers look after their money. A random sample of staff supervision records was looked at in individual files. Notes of supervision sessions were seen but in some cases these were not regular. Some staff had only two recorded supervision sessions over the year although some had four. Staff spoken with said that they felt they get enough supervision. However the National Minimum Standards and the registered provider’s own policy state that supervision should take place at least 6 times yearly, to give staff time and space to discuss their work and issues in relation to meeting service users’ needs. Health and safety records were looked at. It was noted that water temperature checks although done weekly showed low temperatures e.g. all were below 40°c, 8 were at 37°c and 8 were at 38°c. The manager said that as the boiler is housed in the nearby care home, Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 24 Wellhay is at its farthest point and water temperatures are harder to maintain. Regular visits from heating contractors were seen and the manager confirmed the frequency with which contractors are asked to visit to adjust temperatures. Fire safety checks are done weekly and records showed this. Fire safety training was last done on 1 February’07 and staff had signed to say that they had attended. Between August ’06 and February ’07 four fire drills had been held and attended by at least 14 staff. Records of the drills had been written up and it was clear to see how service users were kept safe. Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 25 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 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 X 3 Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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 OP19 Regulation 23(2)(b) Timescale for action The registered person shall, 31/03/07 having regard to the number and needs of the service users ensure that – The premises to be used are of sound construction and kept in a good state of repair both internally and externally. Requirement 2. OP30 (The outsides of all window frames must be repaired and revarnished) 18(1)(c)(i) The registered person shall, 31/03/07 having regard to the size of the centre, the Statement of Purpose and the number and needs of service users – Ensure that the persons employed by the registered person to work at the centre receive – training appropriate to the work they are to perform. (All care staff must be offered refresher training in caring for people with dementia on a regular basis). The registered person shall 31/03/07 ensure that persons working at the centre are appropriately DS0000037063.V329624.R01.S.doc Version 5.2 Page 27 3. OP36 18(2) Wellhay Resource Centre supervised. (Staff must have 1-1 supervision at the frequency laid down in the employer’s relevant policy). 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 OP18 Good Practice Recommendations The gardener/handyperson should attend safeguarding adults training if not already done so and the manager should attend an update for managers’ training in the same subject Consideration should be given to replacing all windows in the centre with double-glazing to ensure service users are kept warm. 2. OP19 Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 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 © 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 Wellhay Resource Centre DS0000037063.V329624.R01.S.doc Version 5.2 Page 29 - 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. 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