Inspection on 03/02/06 for Wellington Lodge

This inspection was carried out on 3rd February 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

Wellington Lodge 14/02/07

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 Ann Connolly Unannounced Inspection 3rd February 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 Wellington Lodge DS0000021590.V282067.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. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 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 0161 740 8549 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.V282067.R01.S.doc Version 5.1 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). 18th August 2005 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.V282067.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 took place over the course of 2.5 hours on Thursday 3 February 2006. During the course of the inspection time was spent talking to the registered manager, residents and staff members to find out their views of the home. Time was spent examining records, documents, residents and staff files. A tour of the building was also conducted. During this inspection it was noted that the majority of requirements from the previous inspection had been addressed and there was evidence that this home was working hard to achieve a good outcome for the residents. As this inspection only looked at a limited number of standards this report should be read together with the previous and any future reports to gain a full picture of how the service is meeting the needs of the residents living there. What the service does well: This home consistently demonstrates a commitment to developing the services for residents. Overall, the training programme has been improved so that staff receive training on good practice issues. Residents who were spoken to were very positive about the care and support they receive from staff. One resident said, ‘staff are very good here. They are kind and helpful’. The standards of cleanliness and hygiene in the home are very high, providing a pleasant and comfortable place for residents to live. The home has an ongoing programme of refurbishment to maintain high standards in the home. This was evident from the amount of work that had taken place since the last inspection. Medication systems in the home are well monitored, and records and stock levels are consistently accurate and up to date. Wellington Lodge DS0000021590.V282067.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. Wellington Lodge DS0000021590.V282067.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 Wellington Lodge DS0000021590.V282067.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): EVIDENCE: These standards were not assessed during this inspection. Wellington Lodge DS0000021590.V282067.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): 7 and 9 Care plans did not contain all the information required to ensure that the needs of residents are clearly identified. EVIDENCE: Prior to any admission to the home the manager or senior staff visit any prospective resident to establish if the home can meet their needs. The file of a resident recently admitted to the home was examined. There was a multidisciplinary assessment and the home’s own assessment on file, but none of the information had been transferred onto the care plan. This must be done on all new admissions to the home to ensure that staff have the necessary knowledge and information to assist them in providing the right care and support for the individual resident. All care plans had been updated and information was collated in a user friendly system with a comprehensive index system making it easy to find the appropriate information. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 10 Risk assessments were in place and there was evidence of monthly reviews and a more detailed review was completed every six months. The care plan diary sheets varied in the quality of the recordings. Whilst some improvements were noted in the records, the manager is aware that these documents required continual development. During this inspection medication records were accurate. Stock levels balanced with the Medication Administration Records (MAR) Records were held appropriately and contained copies of the signatures of staff responsible for the administration of medication. Photographs of residents were on file to assist in identifying residents during the administration of medication. The requirements from the previous inspection had been addressed. Arrangements had been made for medicines to be labelled appropriately on the item and the outer box, and fridge temperatures were recorded daily. Wellington Lodge DS0000021590.V282067.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): EVIDENCE: These standards were not assessed during this inspection. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Policies and procedures are in place to ensure that residents are protected from abuse. EVIDENCE: There has been one complaint made to the home since the last inspection and this was managed appropriately. A Protection of Vulnerable Adults (POVA) concern/issue was made to the Social services and the Commission in January 2006. The home followed correct procedures and the outcome was that staff were provided with additional training in dementia and on adult protection. The member of staff involved received additional supervision and monitoring. It was clearly evident from records made that the home takes all allegations of abuse seriously and follow correct policies and procedures. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home consistently maintains high stands of cleanliness. The premises are safe and well maintained both internally and externally. EVIDENCE: A tour of the home took place and a high standard of cleanliness was evident throughout all parts of the building. The home felt comfortable and homely. All areas of the home were tastefully decorated and furniture was of a domestic nature, which promoted the general ‘home from home’ appearance throughout the building. Access to all floors was via a passenger lift and stairwells. Grab rails were fitted throughout the home and a variety of electrical hoists were available. Appropriate aids were fitted i.e. assisted baths, handrails, and raised toilets seats for residents who required assistance. Privacy locks were fitted to the Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 14 bathroom and toilet doors and an emergency call system was available. Each bedroom had a letterbox to enable residents to receive their mail unopened. Since the last inspection major refurbishment work had been carried out to the ground floor bathroom. The whole of the bathroom had been completely re fitted with new bathroom fixtures, tiling and décor. The work had been completed to a very high standard and in such a way that whilst being fit for purpose in a residential setting, it also retained a domestic appearance. Considerable care and thought and attention to detail was evident, the facility provided a relaxing atmosphere, and a place where residents could really enjoy the bathing experience. The two upstairs bathrooms had been re- decorated. The hall and corridor areas had been tastefully decorated and floors fitted with new carpets. Residents who were spoken to were positive about the improvements made to the home. The positive thing about this home is that there is a steady planned programme for decoration, refurbishment and general improvement for the home. This planned and scheduled activity ensures that residents benefit from living in a well-maintained and pleasant environment. Plans were also in place to re-decorate the upstairs lounge and to provide space for a hairdressing and beauty salon. Wellington Lodge DS0000021590.V282067.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): 30 Overall, staff and residents in the home benefit from a well planned and structured training programme, however, the home did not have specialised training in British Sign Language which may prevent those residents who are deaf from receiving care and support appropriately and could potentially place them at risk. EVIDENCE: Anchor Homes have recently developed a National Learning Resource Training facility, which provides a rolling programme of training in key topics, designed to promote good care practice. Training included dementia awareness, communication, POVA and report writing. The manager said that briefings about the programme were scheduled for March. All coursed will be accredited and linked to NVQ training as underpinning knowledge for the NVQ awards. Courses are mandatory for all staff and form part of their foundation training. All staff will receive certification from courses they attend. On completion of the courses staff will be required to complete a small test to determine knowledge acquired. There was evidence that staff had recently attended a recent POVA course and evaluation of achievement confirmed that staff scored highly on their understanding of Adult Abuse. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 16 The home accommodates several residents who are deaf. Prior to admitting these residents the home applied for a variation of registration conditions to enable them to accept people who are deaf. The Commission approved the variation request and the home was required to provide training for staff in British Sign language (BSL) to ensure that staff could meet the needs of these residents. The home has provided some basic training that has not been consistent. One member of staff was learning BSL in her own time and was supporting staff to the best of her ability to communicate with these residents. This arrangement was very inconsistent as this member of staff is not always on duty in the home. Staff spoken to said that they communicated using signs and gestures, but accepted that this wasn’t always successful. The home is required to demonstrate that they are able to meet the needs of people who are deaf and must evidence specific training provided to staff to enable them to communicate effectively. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35 The home was run in the best interest of residents. EVIDENCE: Residents spoken to expressed satisfaction about the way in which they were supported by staff. Policies, procedures and systems were in place to protect the interests of residents in the home. Since the last inspection Anchor have implemented a new system for monitoring the finances of residents living in the home. All residents have an individual record of account balances. There is also a balance for the home, which includes money that is banked for residents and money held at the home in cash. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 18 A bank statement of reconciliation is completed once a week and transactions are calculated daily. This is an improvement in the way in which resident finances are managed. However, this does not fully comply with the regulations. The requirement from the previous inspection report to ensure systems are in place to safeguard resident’s finances is repeated in this report. Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 2 X X X Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP7 OP35 Regulation 15 20 Requirement Information from the pre admission assessment must be transferred to the care plan. The home must ensure that money belonging to residents is held in an account in the name of the resident. (Previous timescale of 1.5.05 not met) The home is required to demonstrate that they are able to meet the needs of people who are deaf and must evidence specific training provided to staff to enable them to communicate effectively. The home must provide a training plan to the Commission. The registered manager must ensure that money belonging to residents is held in an account in the name of the resident to which the money belongs. Timescale for action 10/04/06 10/04/06 3 OP30 18 10/04/06 4 OP35 20 10/06/06 Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Wellington Lodge DS0000021590.V282067.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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