Inspection on 16/12/08 for Wentworth Grange

This inspection was carried out on 16th December 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wentworth Grange 16/01/07

Wentworth Grange 13/01/06

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 20/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wentworth Grange Riding Mill Hexham Northumberland NE44 6DZ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Suzanne McKean     Date: 1 6 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Wentworth Grange Riding Mill Hexham Northumberland NE44 6DZ 01434682243 01434682009 phyllislee@wentworthgrange.fsnet.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Underwood Hall Ltd Name of registered manager (if applicable) Mr Jeffrey Lee Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: One named service user is category MD(E). No further admissions can take place in this category without the prior agreement of CSCI. Date of last inspection Brief description of the care home Wentworth Grange is a detached purpose built home situated within its own grounds close to the centre of the village of Riding Mill. A single storey extension was previously part of the old home building and is now a stand-alone facility but remains part of the registration. Both parts of the home provides single occupancy accommodation. The new build part of the home has on suite facilities in all of the bedrooms. There are extensive landscaped gardens surrounding the buildings complete with water features and several sitting areas. There is a car park to the front of the building and access to the separate building is via a road around the main building. The home charges fees of between £545 and £650 per week depending upon the needs and requirements of the Care Homes for Older People Page 4 of 26 care home 51 Over 65 16 35 0 0 Brief description of the care home individual residents. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Summary: This is an overview of what the inspector found during the inspection. How the inspection we carried out:- Before the visit we looked at, the information we have received since the last visit on 16th January 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run and the providers view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit: An unannounced visit was made on 16th December 2008 it was started at 09:30 and was carried out over seven hours. Care Homes for Older People Page 6 of 26 During the visit we: Talked with people who use the service, relatives, staff, the manager and visitors. We looked at information about the people who use the service and how well their needs are met. We also looked at the records which must be kept. We checked the staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building and parts of the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last visit. We told the manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good admission assessments and information gathered before the placement makes sure that the home is prepared for the person moving in and that the person can be confident that their needs will be met. Evidence: The home uses an assessment document which is designed to give the staff a way of recording information about the needs of the people who are considering moving into the home or staying for a short period. The document assists the staff to find out about all aspects of peoples lives and needs. The manager is confident that it gives him the information he needs to make the judgment about offering a place. He has shown in the past that he is careful when offering a place to make sure that they can not only meet their needs but that he has considered the residents already in the home. Care Homes for Older People Page 10 of 26 Evidence: Potential residents can visit the home and spend time in the communal areas prior to making the decision to move in, but those spoken to on the day had relied on their relatives to make the choice for them. One resident spoken to had been very happy with the information he had been given prior to him moving into the home and was very satisfied with the admission process. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have their health and personal care needs met in a well planned way and the care is delivered in a respectful but friendly manner. Evidence: Each person living in the home has an individual care plan which is developed from the very detailed admission assessment and added to throughout their stay. These care plans show that the personal and health care needs of the resident are being met and how that is being achieved. The staff spoken to were knowledgeable about the contents of the care plans. They were able to describe the needs of the residents and were clear about the way that they had to record the care they gave and the need to report any relevant issues to senior staff. Care plans are in place around both the physical and the social care needs of the people living in the home. Necessary risk assessments are completed for a selection of areas including falls, nutrition and deterioration in skin condition. These were being reviewed and the reviews were detailed and up to date. Care Homes for Older People Page 12 of 26 Evidence: Some areas of the care plans were particularly comprehensive in there level of detail. Generally they are person centered. The staff work hard to make sure that they communicate well within the home team and with external primary health care team advisors. Residents are supported to access NHS services and facilities as and when they need to. The care plans showed that the specialist advisors are used extensively for individual people living in the home and their advice is followed closely. The residents and their representatives are supported to take part in the review of their care. Residents said that they felt well cared for by the staff and an example of this was the staff are very good and they always help me when I need it. Residents were dressed for the activities they were undertaking and looked comfortable and tidy. A number of residents were positive about the care they were being given and were very complementary about the staff. An example of this was that they thought it was nice living here and that the staff were lovely. Care was given in a discreet manner taking into account the individual residents previous lifestyles and the way they want to spend their time. Staff were being kind and polite with cheerful banter taking place throughout the day. The residents are encouraged to maintain contact with their families, friends and visitors and can use either their own rooms or the communal areas. The relatives are given good assistance to help them to be as involved in the care as they feel comfortable. The home manages the administration of prescribed medication appropriately. There are appropriate systems in place to order the residents medication and the records were up to date and in good order. The home has a contract for the disposal of the medication which is no longer required and the records of this were in place. Controlled drugs are managed appropriately. Specific routes of administration are followed and any omissions or changes to the way that the medications are given are recorded. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are well supported to live active and fulfilled lives in line with their choices, abilities and previous lifestyles. Evidence: The staff are knowledgeable about the social and recreational care needs of the people living in the home. This was shown in the care plans. There is a lot of information about the residents and each has a document in their room which describes an overview of their needs and their individual information. There are regular activities for the service users. One service user described some of the opportunities they had been offered and although they felt that this was enough they did not always want to take part. On the day of the visit there was a clothes party and residents were being supported to choose clothing and having a good time looking at the clothes and choosing shoes from a catalogue. Information was displayed in the home advertising the visit of an entertainer, and the visit of a pantomime company who was visiting the home to perform. There is now an activities co-ordinator in post who is developing the service further to meet the needs of the residents. Currently there is activities such as bingo every two weeks and carpet bowls. There Care Homes for Older People Page 14 of 26 Evidence: has been a recent visit to the Metro Centre and two trips out and the home to other local destinations. The home has an account with Adapt a local transport service. Other trips out have been to Brock Bushes which is usually offered to two people two or three times a month. There is an exercise teacher who visits the home on a weekly basis and organises a session specifically designed for the residents and for those who wish to take part. This is enjoyed by a number of the people living in the home. There is no formal monthly programme in place at the moment as the events are centered around the Christmas period. The new years programme is to be available for the new year. Some of the social information is collected in a diary which is shared. After discussion it was agreed that there needs to have an individual social activities sheet for each resident. The residents are supported to continue their religious practices and there are opportunities for residents to participate in services which are appropriate to their particular faith and beliefs. A relative commented that they are aware of the activities that the staff organises for the service users. The home supports the relatives to make positive contribution to the care provided in the home. The home employs a head chef who has considerable experience and there is a second chef and a trainee who has recently commenced his employment. The menu offers a very good variety of choice and variety. There is usually a choice of two starters, three main courses and two pudding/sweets. The choice on the day of the visit included either a Christmas dinner with choice of meat or a vegetable Risotto which was served with garlic bread. This was sampled by the inspector and it was very tasty, served at the appropriate temperature and very well presented. The residents were very complementary about he food being served both on the day and generally and said that they were given choices. One said that she could always find something on the menu she wanted and if she did not she felt that the staff would always make sure that she could have something nice to eat. The meal time was very well organised and the residents had choices of drinks served with the meals, condiments and sauces were available. Staff were sensitive when assisting the residents with their meals. The residents were enjoyed their meal which looked appetizing and very well presented. Care Homes for Older People Page 15 of 26 Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good policies and procedures in place which are followed by the staff to make sure that complaints are dealt with effectively and that residents are safeguarded from harm. Evidence: The complaints procedure is made available to residents and relatives through the service user guide. Relatives confirmed that the staff and the manager listened to their views and opinions. The manager and the senior staff are committed to responding to any concerns raised, and there is a good system for the management of complaints. There is an appropriate protection of vulnerable adults policy and staff were aware that any events effecting the welfare of the residents must be looked at with reference to the safeguarding guidance and CSCI need to be informed. The training programme has been ongoing and although there are a small number of staff who need training this is scheduled and they have had some safeguarding training as part of their induction programme. There is a whistle-blowing policy which is made known to the staff very early in their employment through the induction process. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers excellent accommodation which is clean and well maintained and has design features to help people of this client group and to promote their dignity, comfort and welfare. Evidence: The main building was purpose built for the client group and has been constructed to a high standard. It was odour free, tidy and well organised. The decoration is modern and the home has a feeling of spaciousness and has good natural light. The residents spoken to said it was homely and comfortable. The grounds were tidy, safe, highly attractive and accessible. One of the residents explained that she enjoys a daily outing, weather permitting, around the gardens when member of the care staff assists her. People living in the home see visitors in private in their own rooms or in the communal lounges of which there is a choice. The dining areas are large enough to cater for all service users although some choose to eat in their bedrooms. Furnishings and fittings are domestic in design and in good condition. The lighting was sufficiently bright and also domestic in design. Care Homes for Older People Page 18 of 26 Evidence: The home has sufficient number of baths, showers and toilets which are appropriate to the needs of the resident group. These are well spaced throughout the home to offer convenience and choice. The facilities have appropriate door locks to ensure privacy. Room sizes exceed the minimum required. The room are generous and exceed the national minimum standards and as such there is space on either side of the bed when necessary to enable access for carers and specialist equipment. Resident bedrooms all had opening windows and they are centrally heated, under floor heating throughout the building, and the heating level could be controlled within each bedroom. All bedrooms have a telephone point. Lighting levels are sufficient and there was emergency lighting throughout the home. Water is stored at the appropriate temperature and there are valves in situ at water outlets to ensure water is provided close to forty three degrees to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are large and are very well organised. The washing machines have the specified programme to meet disinfection standards. The Hampton Unit has now been newly furnished and is of good quality and well decorated and clean. It is very homely and has had a significant amount of redecoration. The carpets have all been replaced and they are now of a high standard. Bathrooms facilities in this unit have been improved to offer the residents a better standard of facilities and offer greater choice. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are skilled, well trained, and competent staff employed in sufficient numbers to make sure that they can provide very good care to the people living in the home. Evidence: The home maintains good staffing levels and on the day of the visit there was, the Manager, two qualified nurses and seven care staff covering the two units. The homes management structure gives good leadership to the nurses, carers, and domestic staff. There were sufficient numbers of domestic and catering staff on duty and there is a domestic manager who co-ordinators this. These levels are appropriate for the number and dependencies of the people living in the home and to make sure that their personal and health care needs are being met. The nurses and care staff are encouraged to go on a variety of courses. They are given the necessary training to make sure that they are able to carry out their roles safely including moving and assisting, fire, control of infection, first aid and food hygiene. Staff records are kept of recruitment and selection. A sample of these were examined and found to contain the necessary information to make sure that the residents are safeguarded from harm by good processes. The induction of staff is in line with current good practice guidance. Additional training is given to staff around other areas such as Care Homes for Older People Page 20 of 26 Evidence: Infection control, medication training and dementia care. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in line with good health and safety practices and in the best interest of the residents, making sure that their needs are met and that the staff are supported in their roles. Evidence: The manager Mr Lee, provides very good leadership and has appropriate qualifications, experience and skills to make sure that the home is managed in the best interest of the people living there. He is also a registered nurse. Staff said that they felt well supported and were able to work toward relevant qualifications and that the manager would listen to any views they had about the home. There is a quality assurance system in place, which is used to identify any necessary improvements. Relatives and staff are asked their views on the service provided using bi-annual surveys, and residents are asked annually in the same way using different questions. There are residents surveys carried out to find out the views of the people Care Homes for Older People Page 22 of 26 Evidence: living in the home. These are analysed so that the providers can make changes as and when necessary. Residents described the open door policy of the manager and that he regularly tours the home to speak with both residents and staff. During the visit the manager was obviously familiar to the residents and the relatives. There is a programme of staff meetings in place including the inner circle meetings involving the providers and the manager and the outer circle meetings involving the senior staff and department heads. There are staff meetings for, the whole team, the qualified staff, and the care staff all of which are minuted. There are also Health and Safety meetings which include a representative from each of the staff groups to look at the specific area. In addition to this staff are able to request a quality circle meeting to look at a specific issue which needs to be improved or where there is a problem. Relevant staff have the opportunity to look at the issue and agree an action plan. This is then reviewed by the manager to ensure that it fits the ethos of the home and that the policies and procedures are amended as necessary. The home has a good system for ensuring that the environment of the home remains safe. There are contracts in place for the servicing of equipment and and there is a good system in place for the routine maintenance of the home. Safety checks are carried out and recorded. Risk assessments are in place and the home has a mechanism for reviewing any adverse events and making sure that they put in place effective risk assessment to reduce further risk. The use of specialist equipment in the home is assessed and specialist advisors are sought to make sure that all residents and staff are aware of the safe practices required before introducing the equipment. The home has a system in place to assist residents in managing their personal finances / allowances. The individuals money is kept separately and the records are maintained well. There are receipts kept for any purchases made on behalf of the residents and there are systems in place to make sure that people in the home are provided with money for them to have the items they need. The records are audited by the provider. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 It is recommended that the way that activities experienced by residents are recorded in the individuals way. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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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