Inspection on 14/02/07 for Wellington Lodge

This inspection was carried out on 14th 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

Wellington Lodge 03/02/06

Wellington Lodge 18/08/05

Wellington Lodge 15/03/05

Wellington Lodge 31/01/05

Wellington Lodge 12/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Wellington Lodge 334a Waterloo Road Cheetham Manchester M8 OAX Lead Inspector Nick Allen Unannounced Inspection 14th February 2007 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 Wellington Lodge DS0000021590.V330294.R02.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. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellington Lodge Address 334a Waterloo Road Cheetham Manchester M8 OAX 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) 0161 740 8549 F/P 0161 740 8549 sharon.blackwell@anchor.org Anchor Trust Margaret Mary Catterson Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (25), Sensory Impairment over 65 years of age of places (7) Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users requiring personal care only by reason of old age shall be 32. The service must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home may accommodate seven named service users with sensory impairment who are also over sixty five years of age should any of these service users no longer require the accommodation provided at the home the places will revert to the category old age (OP). Date of last inspection Brief Description of the Service: Wellington Lodge is a purpose built home, owned and managed by Anchor Trust. The home offers 24-hour personal care and accommodation is provided in single bedrooms with en suite facilities. The building is situated on extensive landscaped grounds with ample car parking provision to the rear of the building. The home is located in the Cheetham Hill area of Manchester, within 2 miles of the city centre and in close proximity to local shops, facilities and bus routes. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of Wellington Lodge was the unannounced site visit as part of the inspection process. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the services provided. The process considers the home’s capacity to meet regulatory requirements and minimum standards of practice. The methodology used for this inspection included ‘case tracking’ the care of service users by reviewing their care plans against the care they received and direct observation together with speaking to service users and staff. What the service does well: What has improved since the last inspection? What they could do better: The home needs to continue to work towards maintaining full employment of care staff. Records need to be fully and appropriately maintained at all times. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 6 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. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 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 Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2,3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home carries out an assessment of the persons needs prior to their admission to the home. EVIDENCE: Both documents were available. One Service User spoken to said that she knew about the documents but relied on a relative “to deal with paperwork” There had been one new admission since the last inspection. It was not possible to talk to this person. Their case file showed that the staff from the home had undertaken an assessment of the persons’ needs prior to admission and that the information had been transferred to the care plan. It provided the bases for staff to assess a persons abilities and amend the care plan if necessary. One person spoken to said that on admission she used a wheelchair, however staff had helped her to walk with a walking frame. The Team Leader said that this person had been assessed as able to walk but had Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 9 made excessive use of a wheelchair. Staff had, with the person’s agreement moved them to a room that provided easier access to all areas of the home and had encouraged them to re-mobilise. The home does not provide intermediate care. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health care needs of service users are well-documented and known to staff, which ensures that needs are met with their privacy and dignity maintained. The homes management of medication ensured service users safety and well being. EVIDENCE: Care plans were examined and instructions about meeting health needs were clearly identified. Records and daily reports for residents confirmed that all routine and specialist health care was provided. District Nursing staff visited daily to help one person control their Diabetes. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 11 Results and prescriptions confirmed that health care checks including Opticians, Dentist and Podiatry as well as Out Patient appointments, nursing care and other specialist input was arranged as necessary. Three residents were interviewed and all were satisfied with the standard of health care provided in the home. A fourth person said that they liked the staff and the manager however they said that they would never complain to anyone. The staff interaction was observed and monitored, it was noted that for the most part staff supported residents in accordance with the instructions written in the care plans. Records, together with direct observation, showed that medication policies were followed and staff sought the consent of residents before giving medication, it was noted that appropriate support was offered to ensure medication was successfully administered. Medication storage was appropriate however it was noted that the medicine fridge was stored in a first floor office together with the locked cupboard containing controlled medication whilst the main drugs trolley was located in the ground floor office. A sample stock check of medication showed that the balances were correct. A similar check of the safe contents was undertaken and balances recorded were correct. During the time spent at the home it was noted that staff offered residents the opportunity to maintain their dignity whilst personal tasks were undertaken. It was also noted that diversity of need was actively promoted. English is not the first language of up to seven residents. The home had staff that could communicate in three languages one of which included British Sign Language (BSL). Staff had adapted this form of communication to meet specific needs and abilities of those residents who used this form of communication. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 12 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): Standards 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 range of activities in the home provided individuals with choices and opportunities to take part in a selection of appropriate activities including ones external to the home. The nutritional value of meals provided was in keeping with current guidelines, including choices offered to those on special diets. EVIDENCE: The activities calendar was examined and there were a variety of activities. It was also observed in the daily reports that staff assessed whether individual service users participated in or enjoyed the activities offered. It was also recorded in daily reports when activities had not taken place. The team leader said that the home was trying to recruit an activities coordinator. Of those residents spoken to two said that they were happy with the activities offered. One said there was “plenty” another said “ they could choose not to do things if they wanted”. A third person said that there was not enough to do. One person said this was not true. That they “chose to do nothing and it was perfect for them”. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 13 Residents spoken to confirmed that they were consulted about the way the home operated and about changes being made. Of those people observed some included the residents whose care plans were examined. From these observations it was possible to conclude that service users relate well to each other and staff, comments from service users included “A lot of them like a laugh”. All residents have a room key and a safe for storage of valuables or medication. Staff only held keys if a risk assessment identified it as appropriate. On the day of inspection the Chef was preparing the meals with assistance from other staff. It was noted that service users made favourable comments about the food and particularly enjoyed the pudding. Menus were decided by residents during service users meetings. Copies of the four weekly menu was on display and the kitchen staff wrote the days choices on a chalk board. Choices were offered. The inspector shared a meal with the residents and observed positive feedback on the meal. Facilities were available for everyone to make a hot drink dependent on risk assessments. For those who chose to have fruit juice a dispenser was available as was a cold water drinks dispenser. The store cupboards were examined and were adequately stocked. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 14 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): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes complaints procedure was robust, clearly written and staff and service users understood who they could go to and that they were entitled to voice any complaints and be listened to if they had any concerns. EVIDENCE: There was a clear complaints procedure for the residents and their relatives; a copy of this procedure was given to all prospective residents and their relatives. This judgement has been made using available evidence including a visit to this service. There have been no recorded complaints at the home or to the Commission for Social Care Inspection since the last inspection. The team leader stated that any “niggles” were addressed quickly. An example given was that there had been one or two issues between service users over not understanding people who spoke different languages. These were addressed either at residents meetings or on a one to one basis. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 15 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): Standards 19,24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe and comfortable environment was provided for the residents. Bedrooms were furnished and decorated to suit the individuals’ tastes and preferences, meaning people are living in homely surroundings. EVIDENCE: The inspector visited resident’s bedrooms and noted that each room was personalised and comfortable. All rooms were en suite There were two lounge areas on each floor. The Lounge on the upper floor was designated as the “quiet” lounge. The team leader said that residents and relatives could use this room to share a meal. There was a ground floor dining area. Breakfast was served only in this room, however other meals could be taken in the dining room, the dining areas of each lounge or in an individuals own room. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 16 There was a hairdressing salon. A visiting hairdresser called weekly. Each bedroom door had a letterbox and mail was delivered directly to residents. One of the rooms had been fitted out by a former resident. Residents could re decorate their rooms or alternatively there was a rolling programme of redecoration. There was an ongoing refurbishment programme for the home. Three of the bathrooms had been upgraded. The fourth was awaiting upgrading The inspector noted that there were aids and adaptations such as grab rails in toilets and special lifting and bathing hoists for the residents who need help with their mobility. There were also assisted baths for residents that could not get in and out of the bath without help. There was a level access shower. The laundry room was kept very clean and tidy; the washing machines had programmes for disinfecting and sluicing laundry. The washing programmes are individual and only one residents washing is done at any one time. There was a dedicated member of staff working in this area. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 17 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): Standards 27,28,29 and30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The levels of staff and the mix of skills ensure that the service users are properly cared for. The home’s recruitment practice was adequate ensuring that staff were suitably vetted and affords appropriate protection to service users. EVIDENCE: The inspector noted from the duty rota that the staffing levels at the home were adequate. The team leader said that there were a number of vacancies currently being advertised at the local Job Centre. Staff working over time or additional hours were covering gaps in the roata. The staffing levels provided appropriate minimum cover. Discussions with the staff confirmed there was a good mix of skills and experience amongst the carers and trained nurses. The service users told the inspector that they were very well looked after and that they did not have to wait for attention when they needed it. However staff deployment at lunchtime needed to be reviewed as no staff were in the main dining area other than when medication was being given. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 18 At the time of the inspection a number of staff files were examined. One was found not to contain any photographic evidence. All other staff files were fully recorded. The details of all staff CRB reference numbers were listed on a notice board in a first floor office. Community Health Staff accessed this office. Both of these issues were being addressed on the day of the site visit. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 19 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): Standards 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home makes sure that the best interests of the residents are protected in that all Health & Safety procedures are in place, and residents are safe. EVIDENCE: The manager has had suitable experience in the management of care services for older people, they had undertaken relevant professional training. Policies and procedures had been kept under review and where possible actions from previous inspections had been progressed within timescales to ensure continuous service improvement. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 20 Supervision and appraisal processes were in the process of being changed to a system based on Person Cantered Planning. Senior staff were undergoing training on the new system. Supervisions will be up to eight per year with some being as group supervision sessions. Records were maintained in good order and on the whole stored in accordance with data protection requirements. There was an understanding of the importance of confidentiality and data protection requirements. Training in safe working practices was provided for staff members. Refresher training in these topics plus moving and handling training for staff was available. Health and Safety policies and procedures were in place with safety notices posted appropriately throughout the building. A fire risk assessment and fire records were provided for inspection. Gas, central heating, electrical and water temperature checks had been carried out. The measures taken had improved the safety of the environment for the benefit of residents. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 21 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 3 X X N/A 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 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 OP27 Good Practice Recommendations The manager should ensure that deployment of staff within the home ensures staff are readily available to meet the needs of residents at meal times. Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Wellington Lodge DS0000021590.V330294.R02.S.doc Version 5.2 Page 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!