Inspection on 19/10/06 for Wentworth House

This inspection was carried out on 19th October 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 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 House 04/01/06

Wentworth House 19/07/05

Wentworth House 23/08/04

Wentworth House 29/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Wentworth House 283 Clifton Drive South St Annes Lancashire FY8 1HN Lead Inspector Phil McConnell Unannounced Inspection 19th October 2006 10:30 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 House DS0000009755.V302126.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wentworth House Address 283 Clifton Drive South St Annes Lancashire FY8 1HN 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) 01253 724367 01253 724367 garthwaitemandminternet.com Mrs Margaret Garthwaite Mrs Margaret Garthwaite Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Wentworth House provides residential accommodation for up to 14 older people who do not require nursing care. The home is located in a convenient position on a main road position and in close proximity to the main shopping centre, local amenities and the Promenade. The home is arranged over two floors and offers individual bedroom accommodation to all service users which are comfortably furnished and personalised to suit the preferences and needs of the occupant. The majority of bedrooms provide an en-suite facility and a stair lift facilitates ease of access to the upper floor. Communal areas of the home are domestic in character, furnished to a high standard and designed to meet the needs of service users accommodated. The present rate of charging is £324.50 - £385.00 Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assimilation of information was used to assess the key standards that are identified in the National Minimum Standards, including: the pre inspection questionnaire (completed by registered manager) and an unannounced inspection visit to the service, which lasted approximately 6.5 hrs. (Unfortunately no comment cards from service users, relatives or GP’s were returned to the Commission for Social Care and Inspection). During the visit to the home two service users files were examined, including the most recent person to go and live at Wentworth house and discussions took place with some of the service users throughout the day. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Four staff files were also examined, including the last person to be employed at Wentworth House and the files contained all of the required information to meet the national minimum standards. The registered manager was available throughout the day and there was the opportunity to have conversations with other staff members including the homes cook. The homes policies, procedures and all other documentation including health and safety files and certificates were examined and found to be up to date and satisfactory. A full tour of the home was also carried out. What the service does well: There is a consistent and established staff team, which gives the assurance that people are happy working at Wentworth House and this benefits the service users, with regards to familiar people providing their care and the opportunity to develop good relationships. The commitment form the provider towards training is really good and this is evident in the number of staff who have obtained their NVQ, (national vocational qualification in care) which is over 90 at the present time. The meals provided are consistently good with service users having the choice for alternative meals, if required. Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Wentworth House DS0000009755.V302126.R01.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 Wentworth House DS0000009755.V302126.R01.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a thorough pre admission process in place, helping to ensure that individuals are properly and adequately assessed, in order to meet their needs. EVIDENCE: Two service users’ files were examined including the most recent person to go and live at Wentworth House and both files contained sufficient and adequate information. Service users’ files in general were well organised with each containing: a contract, a service users’ ‘Guide to the Home’, pre-admission assessments (Internal and Social Services), care plans and risk assessments. Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 9 The completed assessment also forms part of the care plan, which was described by the manager as a “daily working document”. In further discussion with the manager it was clear that the admission process is successfully used for all new service users who come to live at Wentworth House. Wentworth House DS0000009755.V302126.R01.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): 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. Good care plans and risk assessments are in place, helping to ensure that individual’s needs are being appropriately met. The home works in partnership with other agencies to ensure that service users’ health needs are fully assessed and addressed. The medication procedures are thorough and robust, helping to ensure that service users are correctly and safely treated. Equality, dignity and respect is actively and positively demonstrated in the way that care is provided. Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 11 EVIDENCE: A new care plan document has been introduced since the last inspection visit and the care plans examined were found to be up to date. The plans contained relevant information with clear guidance on how to provide individual personal care and how to meet a person’s health care needs. Individual information was also available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. This helped to demonstrate that people’s health needs are monitored and treated correctly when necessary. The care plans are reviewed monthly, helping to demonstrate that individuals’ health and personal care needs are regularly monitored and assessed and their ongoing needs met. The medicines were stored safely, securely and were well organised with all medication being in individual cassette files, with service users’ photographs on the cassettes, helping to avoid any confusion when administering medication. The medication records were up to date and correct, again with the individuals photograph on the record sheet. This is an added safeguard to help ensure that the correct medicine is given to the person it is prescribed for. Although none of the present service users living at Wentworth House self medicate, there are contracts/agreements in place, for individuals wishing to take the responsibility for self-administering their own medication. In observation throughout the visit, service users were treated respectfully and with dignity. Some comments received from service users were, “If you are ill, you are looked after, the staff are ever so good, they are” and “nothing is too much trouble, the girls are lovely”. Wentworth House DS0000009755.V302126.R01.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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a number of varied activities, promoting stimulation and motivation to service users. Visitors are made welcome to the home, demonstrating that relationships with family and friends are maintained and encouraged. The meals provided are wholesome and nutritious, with the food menus providing a balanced diet, helping to promote a healthy eating plan for all service users. EVIDENCE: The home will shortly provide five specific activity sessions per week, which will be planned by the ‘activities organiser’, they include: art and crafts, Bingo, chair-robic exercises, karaoke, sing-along, beauty treatment/manicures, as well as outings, shopping, meals out and trips to local places of interest. Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 13 A hairdresser visits the home on a fortnightly basis and representatives from different religious denominations visit service users independently. There were books, magazines and daily newspapers also available, with some of the service users participating in a daily ‘word search’, which provided stimulation and interest. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. There was the opportunity to have lunch with the service users and the meal was well presented, very well cooked and appetising. In discussion with some of the service users it was apparent that people are very happy and content with the meals being provided, some comments were, “The food is excellent, she is a really good cook” and “the meals are marvellous”. The homes cook has introduced a fairly new and a very good system in the kitchen, using ‘The food standards agency working manual’. This includes keeping detailed records of food purchased and cooked, general running of the kitchen with daily/weekly check lists, which incorporates, food hygiene, health and safety, temperatures/ heat probes. There were detailed lists of peoples likes and dislikes, a service users birthday list and individuals with specific dietary needs, including a person with diabetes and another who is a vegetarian. The cook was also fully aware of the different food items and preparations that maybe needed for someone of a different religion or culture and feels more than adequate to provide meals in whatever situation may arise. Wentworth House DS0000009755.V302126.R01.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough satisfactory policies and procedures are in place, helping to protect vulnerable people. Staff members are suitably and adequately trained, in order to manage any protection issues. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There had been no complaints received since the last inspection visit. There was a thorough policy in place to deal with a suspicion or allegation of abuse. The inspector spoke with staff members and they were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process, highlighting that staff had been trained in the protection of vulnerable people. One staff member said, “I have had training in the protection of vulnerable people and would know what to do if I needed to report any abuse” “I would inform my manager, but would also make sure that CSCI know”. Wentworth House DS0000009755.V302126.R01.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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic and well maintained, helping to ensure that people live and work in a safe, comfortable and pleasant environment. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely, fresh smelling, comfortable and hygienic with a fully equipped kitchen, which was bright, airy and fresh. The laundry is situated in the basement and it was adequately equipped to cater for the homes needs. The home was found to be generally well decorated, with service users’ bedrooms demonstrating their own personality, containing individual’s own Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 16 personal possessions, including photographs, ornaments and items of furniture. This helped to demonstrate that people are encouraged to bring their own belongings into the home, helping to maintain familiarity and identity. Some of the rooms are also ensuite. Some of the comments received from service users included: “It’s a good place here, it’s kept all nice and clean” “Everywhere is always kept clean, it’s like home from home” and one of the staff said, “I have worked in a number of residential homes and this is by far the best”. There was appropriate specialist equipment observed around the home, such as lifting hoists, a stair lift and walking frames, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The outside of the home was easily accessible to service users and the gardens were very neat, tidy and were maintained to a good standard. Overall the environment of the home was observed to be safe, comfortable, hygienic and well maintained. Wentworth House DS0000009755.V302126.R01.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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have the necessary skills and experience to provide a good standard of care to vulnerable people. The home has a thorough recruitment process, which gives the confidence that service users are protected and safeguarded as much as possible. The training provided is satisfactory, helping to ensure that the service users are cared for and supported by well-trained staff. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory. Four staff files were examined, one of which was the most recent employee to join the staff team and all of the files contained the necessary information regarding experience, skills and training that individuals had received. The staff on duty at the time of the inspection visit were observed demonstrating a caring, sensitive, dignified and respectful approach, with Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 18 service users responding positively and it was evident that good relationships existed between service users and the care staff. There was a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained. This helps to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. An up to date training matrix was observed and it was evident that the provider is committed to providing good quality training to staff. Over 90 of the staff have been successful in achieving the National Vocation Qualification Award in care (NVQ). In discussion with some of the staff, it was commented, “the staff get on really well together” and “I really enjoy working here, that’s why I have stayed for so long”. Some of the other training that has been provided other than the mandatory courses, have included, dementia awareness, nutrition course, palliative care and some of the senior staff have had training in supervisory skills, which will help with the supervisions programme that is now underway, with staff being supervised approximately every 10 weeks. It was evident that the provider is committed to ensuring that staff are appropriately well trained, in order to provide a quality service to vulnerable people. Wentworth House DS0000009755.V302126.R01.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): 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 is well managed and organised, ensuring as much as possible that service users receive a good quality service. The health and safety certificates were up to date, helping to ensure that people are protected and safeguarded. The financial arrangements for residents were thorough enough to ensure that individuals’ finances were protected. Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 20 EVIDENCE: The registered manager has managed Wentworth House for 17 years and previously managed another care home for 2 years. She is adequately qualified, having obtained the Registered managers award and is an accredited NVQ assessor and provides training to the staff at Wentworth, including food hygiene and health and safety. The manager also attends refresher courses to increase her knowledge and update her training, for her own personal development and in order to deliver appropriate and relevant training to her staff team. In discussion with other staff members, there was a general opinion that the manager is very approachable, professional and fair, some comments were, “The manager is very approachable and always willing to listen” “the manager encourages the staff to communicate with her about everything” and “I really enjoy working here, I feel really well supported”. The home’s policies and procedures were examined and found to be up to date and satisfactory, helping to ensure that policies are appropriate and relevant for the care and protection of vulnerable adults. All inspection certificates were available for examination, up to date and correct, including: gas safety certificate, electric check certificate, fire extinguisher checks, lifting hoists and emergency lighting certificates and inspection records were available with regard to the testing of Legionella. An up to date health and safety inspection record provided by Fylde Borough Council was also available for inspection. Emergency lighting and fire alarms are tested on a weekly basis, with risk assessments in place for each service users’ bedroom regarding fire escape / fire drill. There was sufficient evidence to demonstrate that the health and safety of service users and staff at Wentworth House is promoted as much as possible, to help ensure that people live and work in a safe and healthy environment. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded Wentworth House DS0000009755.V302126.R01.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? none 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 OP12 Good Practice Recommendations A structured activities programme would be beneficial as well as all activities and recreational pursuits, being recorded. This will help provide evidence that people are being provided with the opportunity for further simulation and motivation. Wentworth House DS0000009755.V302126.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Wentworth House DS0000009755.V302126.R01.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. 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