Inspection on 20/12/05 for Wentworth Hall

This inspection was carried out on 20th December 2005.

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

Wentworth Hall 18/06/07

Wentworth Hall 23/06/05

Wentworth Hall 25/10/04

Wentworth Hall 27/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Wentworth Hall Church Drive Wentworth Rotherham South Yorkshire S62 7TW Lead Inspector Valerie Hoyle Unannounced Inspection 20th December 2005 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 Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 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. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wentworth Hall Address Church Drive Wentworth Rotherham South Yorkshire S62 7TW 01226 748618 01226 748618 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) Mr Paul Wilson Crabtree Mrs. Gloria Crabtree Lisa Carpenter Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd June 2005 Brief Description of the Service: Wentworth Hall is situated on the outskirts of Rotherham in a small rural village. Amenities close to the home include a small village shop, post office and two public houses. Access to the home is via a drive that also leads to the local Church. The home is a converted building with the original staircase that leads to the first floor accommodation. Service users can also use the passenger lift to access bedrooms. The home provides accommodation for 23 service users who fall into the older persons category. The personal space includes single rooms with en suite, and a small proportion of rooms that can accommodate two service users. There are a number of lounges and a conservatory that overlooks the gardens. The gardens are well kept and there is a small pond and fountain as the main feature. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection of this inspection year. (2005/06) This unannounced inspection was conducted over 4.5 hours where a partial tour of the building was undertaken. The inspector examined three service users care plans and supporting documentation. Five staff and eight service users were spoken to during the visit. Staff was observed interacting with residents (service users) in a positive supportive manner, enabling them to participate in daily living skills. The views of the six visitors were also gained during this visit. The registered manager was available throughout the visit and assisted while examining records and procedures. What the service does well: What has improved since the last inspection? Staff have shown commitment to their own learning and should be commended for above 50 achieving NVQ awards in care. The staff at the home have made the home warm and welcoming with Christmas decorations and Christmas trees. Residents said they were looking forward to their Christmas at the home. Staff at the home work hard to maintain the quality of care provided to those who choose to live at the home, and they continue to meet all National Minimum Standards, and exceed minimum standards in areas of activities, helping residents maintains contact with family and friends, the training, and the management of the home. The registered manager and staff are commended for their efforts. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 6 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. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 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 Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 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): 3 Service users (Residents) are not admitted into the home without a full needs assessment undertaken by the registered manager, to ensure their needs are met. EVIDENCE: The placing authority provides information to the home prior to admission and The registered manager is able to make an initial judgement about the suitability of the resident, and assess if the staff are able to meet their care needs. Three assessment documents examined included sufficient information to ensure the staff at the home needs can meet care. One new resident said that staffs were very kind during a difficult period in her/his life, and she/he was still to make final decision about her/his future. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 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, 8, 9. The care planning systems are sufficiently detailed to enable staff to deliver the care to residents who have specific identified needs. Arrangements for dealing with resident’s health issues are adequately met by staff at the home, with support from health professionals. Medication policies and procedures are well managed and staff has the necessary skills to administer the medication to residents, ensuring their safety and protection. EVIDENCE: Three care plans examined and these were comprehensively written with clear methods of staff intervention. There is sufficient evidence to confirm staff on a regular basis reviews the care plans and comprehensive risk assessments ensure residents can maintain their independence while remaining in a safe environment. Staff are comfortable with their abilities to meet the needs of residents and they are well informed and trained to deliver the care. Residents or their representatives are encouraged to agree and sign the care plan, and there was evidence to confirm this. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 10 One resident said she/he liked to be checked by the night staff as this made her/him feel safe, and staff ensures that the night care arrangements are recorded on the residents care plan. Records examined and discussion with the staff confirmed resident’s healthcare needs are met. District nurses give advice and support staff to ensures service users healthcare needs are met. Residents are escorted to medical appointments by staff and comprehensive records are completed ensuring information is shared with those who care for the individual. One resident returning from hospital said she/he was very happy to be back home, and was now looking forward to Christmas. An audit of medication stocks and records was examined and were found to be correct ensuring the health and safety of residents. All senior carers have undertaken accredited medication training to ensure they have the required skills and knowledge. Comprehensive contracts are developed to enable residents to make decisions on self-medicating ensuring their safety and protection. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 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): 12, 13, 14, 15 Social activities are arranged by the home and residents are able to participate if they wish, to enhance their lifestyle experience. Mealtimes are well managed and the facilities promote a calm environment with a pleasant dining area to accommodate all residents. Residents are encouraged to make choices and control over their own lives. The home has clear visiting policies and procedures to ensure residents can maintain contact with their family and friends. EVIDENCE: There is a lively atmosphere at the home and residents choose where and with whom they want to spend their time. Service users spoke about the variety of entertainment provided by the staff and outside entertainers. Residents were entertained by school children during the morning of this visit. The children sang carols and a number of residents joined in. Residents said they had enjoyed their Christmas party and were looking forward to going out for Christmas dinner with family. Other residents said they wanted to spend Christmas day at the home with their friends. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 12 Residents are encouraged to maintain their independence and make informed choices about how they spend their time. One service user said he/she enjoyed helping in the garden, as it helped him to keep fit. Visiting relatives said they were always made to feel welcome and staff were very caring. They also said that they were confident in staffs ability to provide the care needed for their relative. The staff at the home encourages relatives to play an active part in the home and they are invited to social events and outings. The menus are well balanced with a good choice for each meal. Mealtimes were observed and the food looked good quality and was well presented. Staff were available throughout the meal and were able to give assistance where needed, they appeared to be unhurried and had time to chat to residents. Residents said the meals were very nice with a good variety and the cook always came around in the morning to give them a choice of lunch. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Residents and their relatives are provided information to enable them the raise concerns about the home and their care. Adult protection Policies, procedures and training of staff ensure the protection of residents from abuse. EVIDENCE: There is a complaints procedure that is available to residents and visitors, and is available in the entrance hall of the home. The procedure is also referred to in the service users guide, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. One resident said that he/she was not aware of the complaints procedure, but said that he/she could not be happier with the care at the home, and felt that if he/she wanted to complain about anything he/she would go to the manager and was confident that the problem would be dealt with quickly. There is a comprehensive Adult Abuse and Whistleblowing and staff follow the procedures to those standards. The registered manager would investigate fully any allegations of abuse and would follow the necessary procedures if any were substantiated. The registered manager holds discussions with staff to talk over issues and how to recognise different forms of abuse. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for residents. The home is clean and free from odours and there is sufficient domestic staff to maintain good hygiene standards. EVIDENCE: The registered providers continue to make improvement to the fabrics and furnishings at the home. Bedrooms are generally decorated as they become vacant. New lighting has been purchased for the dining area that has brightened the area for residents. The home is situated along the driveway that leads to the local Church and is in a quite rural setting. Trees surround the gardens and there is an enclosed garden at the rear of the building. There is an attractive pond as the main feature of the garden and this has a water feature in the centre. Residents Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 15 enjoy spending time in the garden and one service user spends her/his time feeding the birds and wildlife. The home was clean and free from offensive odours and service users said that their bedroom was always kept clean and tidy. The domestic staff are commended for their efforts in maintaining the cleanliness of the home. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 16 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): 27, 28, 29, 30 Staff have the skills and knowledge to fulfil their roles within the home, and a stable staff group ensures continuity of care by staff that knows the service users. Recruitment policies are followed ensuring the safety and protection of service users. EVIDENCE: Staff rotas examined demonstrated there is sufficient staff to meet the needs of service users. Examination of training matrix demonstrates staff have received training in all areas to ensure residents are safe and protected. Staff have the required skills to meet the needs of service users, and they are commended for meeting the requirement of 50 NVQ level two qualified staff. A number of staff are progressing with NVQ level three. The inspector was able to speak to two staff about their training and development and they said they was supported by the manager. A number of staff recruitment files were examined, and there is evidence that all the required employment checks have been undertaken prior to commencing work at the home, ensuring the safety and protection of residents. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 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): 31, 36, 38 The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the service users. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. Staff are provided with formal supervision required to ensure they have the opportunities to develop new skills and knowledge. EVIDENCE: The registered manager has a wealth of experience and knowledge and is able to demonstrate her ability to manage the home. She holds the required management and care qualifications, and operates an open door policy to ensure she is accessible to staff and service users. Service users spoke highly of the manager and said she was very caring. Staff receives supervision and Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 18 the manager undertakes all yearly appraisals, to ensure staff have to opportunity to discuss their development. Accident reports are analysed by the manager to ensure risk assessments are developed where required. Maintenance and service records examined were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures are in place and service records were examined and were current, ensuring the safety of service users. Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X X 3 X 3 Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations Wentworth Hall DS0000003110.V270954.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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