Inspection on 20/07/06 for Wentworth Lodge

This inspection was carried out on 20th July 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 Lodge 14/08/07

Wentworth Lodge 10/11/05

Wentworth Lodge 24/01/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Wentworth Lodge Wentworth Road Bushbury Wolverhampton West Midlands WV10 8EH Lead Inspector Mr Ian Harris Key Unannounced Inspection 20th July 2006 08:00 20/07/06 08:00 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 Wentworth Lodge DS0000020877.V297404.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 Lodge DS0000020877.V297404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wentworth Lodge Address Wentworth Road Bushbury Wolverhampton West Midlands WV10 8EH 01902 570208 01902 570208 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) Mrs Sandra Ann Dell Mrs Valerie Tanner Care Home 30 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (30) of places Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of person for whom residential accommodation with both board and personal care is provided at any one time shall not exceed 30 persons category I. That is females 60 years and above and males 65 years and above. 10th November 2005 Date of last inspection Brief Description of the Service: Wentworth Lodge is a care home providing accommodation and personal care for 30 older people. It is one of two homes that are privately owned by Sandra Dell. The home is located in the Bushbury area of Wolverhampton and is close to the local shops and amenities. The home was first registered in 1998 and consists of a two- storey building. All the bedrooms are single occupancy of which two have en-suite facilities. There are a variety of sitting/lounge and dining areas. The gardens are well maintained and are easily accessible. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5. hours. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 5 members of staff 8 residents were spoken to. It was noted that the fees are set at £323 per week. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. All the residents spoken who could express themselves in a meaning full way expressed their satisfaction with the care they received. Both long standing residents and recent admissions were consulted and there were comments as follows “This place is beautiful” “The staff are very good like family to us” “ I don’t know what I do without a place like this.” “It’s very good here and the food is very look I have put on weight”. What the service does well: Wentworth Lodge continues to provide a high standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. In particularly the work that the home is carrying out through a designated member of staff to stimulate and motivate residents is to be commended. The little individual gardens outside some of the ground floor bedrooms are lovely idea. The choice of 4 lounges is a good asset and encourages choice. Observations during the inspection saw very attentive staff providing for the individual needs of the residents. The home has a very good staff- training programme, which all of the staff are involved in, this ensures that they are improving their knowledge and skills. Wentworth Lodge DS0000020877.V297404.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. Wentworth Lodge DS0000020877.V297404.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 Lodge DS0000020877.V297404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 There is a good assessment procedure of residents needs in place and there is evidence that they are being followed. The home does not provide intermediate care but does offer a very good respite service. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: There is evidence on the files that all the residents who are funded by the Local Authority undergo a full multi-disciplinary assessment prior to admission. The residents, who are self funding are assessed by the Care Manager, using the home assessment forms. Three residents relatives confirmed that they had been involved in the assessment process The home does not provide intermediate care but has a respite unit. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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, and 10 Each resident has a very good comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are well met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are well met. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by local practitioners. The records indicate that resident’s medical needs are being met. This was confirmed by a number of resident who said that they are Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 Page 10 able to see their G.P. when they need them. Some residents stated that they go to New Cross for hospital appointments. Medication is administered by means of a monitored dosage system. The system appears to be working very well. The home receives good support from the local pharmacist who does a three monthly audit of the homes medication. All care Staff have been trained to use the system before they are allowed to administer medication. The home has good policies and procedures that are used as an integral part of the care staff induction programme. All the residents have single rooms. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Five of the residents who could express themselves in a meaningful way said that the staff were very helpful and kind. Consultation with health care and social care professionals is carried out within the privacy of resident’s bedrooms. Visitors are able to meet residents in their bedrooms or the visitors room. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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, and 15 The home provides a very good programme of social activities within and outside of the home, which are designed to meet the resident’s capabilities, which the staff encourage the residents to pursue. The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: Residents stated that they are consulted regarding the day-to-day running of the home and their suggestions through residents’ meetings and by feedback from their Key-worker. The routines and activities within the home are flexible and are built around the needs of the residents. The home has two Staff members designated to organised social and leisure activities and identify interests that the residents wish to pursue. This has proved very successful in promoting and encouraging participation in the programme of activities. However staff stated it is becoming more difficult to get some of the residents Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 Page 12 t0 go out. A regular programme of musical evenings, Art and board- games, keep fit, Bingo, church services, and sing-a-longs is organised within the home. All residents have been registered with the ring and ride in order to obtain transport for outings. Regular outings to garden centres, City Centre shopping trips, Pub lunches, West Park, Goodyear Social Club are arranged throughout the summer months. There has also been a visit to the Sea- Life centre in Birmingham. The observations made, examination of menus and the comments received from the residents and their relatives confirmed that particular attention is given to the residents’ individual preferences. Comments made by residents regarding the quality, quantity and variety of food provided were highly complimentary. It was noted that the cook consults with individual residents on a daily basis regarding the choices on the menu. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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 and 18 The home has a satisfactory complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a very good comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide and, which a copy is issued on admission to the home. Also a copy is placed in every bedroom and in the reception hall. The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in internal and N.V.Q. training, which all care Staff is undergoing. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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 and 26 The standard of the environment within the home and the garden is high providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has been established for a number of years and has undergone alterations in order to provide appropriate accommodation for older people. The home is maintained to a very high standard, as are the gardens and grounds and provides a very comfortable homely and safe atmosphere. It was noted that five bedrooms, the shower room and the visitors’ room have been redecorated since the last inspection. Also 30 new Lounge chairs have been purchased. It was also noted that the carpets in the first floor corridors, and lounge 3 and 4 should be replaced. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 Page 15 The home was found to be clean tidy and free from odour. The home has good policies and procedures regarding cleaning schedules, infection control and the staff have received training in food hygiene and Infection Control. All staff appeared to be conscious of the dangers of cross infection. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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, and 30 The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the resident’s support needs. The home has good policies and procedures regarding the recruitment of staff, which is being followed. There is a excellent training programme in place that ensures staff are competent to do their job. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The inspection of staff rotas and discussions with residents indicated that the home is well staffed. It was noted that the home has a very low turnover of staff and there is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates a very efficient recruitment procedure and is registered in order to complete the appropriate checks on staff. There was evidence within the homes files that all the checks are being carried out. The home has an excellent training programme All staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a very good programme of N.V.Q. training has now exceeded the minimum standard. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Dementia care, and Moving and handling, First Aid, Infection Control and Fire Prevention. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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, 33, 35, and 38 The manager has very good leadership skills and has a clear development plan and vision for the home, which he has effectively communicated to the residents’, staff and relatives. The Residents’ finances, are being handled appropriately by a designated senior staff member The home is very well managed, where service users interests and welfare are well promoted and protected. The home has good heath and safety polices and all staff are aware of their responsibilities regarding these issues. EVIDENCE: The home is well managed by the Care Manager who is qualified in both practice and management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and is very supportive of both staff and residents. The home has a Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 Page 18 system of formal supervision in place but it was noted that meetings are infrequent. Observations made and discussions with residents’ and staff indcated that the Care Manager is very approachable and operates an open door policy. The staff and residents who could express themselves stated that they are happy to approach the Care Manager and staff with any problems they might have and were confident that they would be responded to. The routines and activities within the home are flexible and built around the needs of the residents. There was also evidence to show that staff consult with the residents regarding the choice of meals and activities within the home and this was confirmed by the residents who could express themselves in a meaningful way. There are regular residents meetings where residents are consulted about menus and entertainment etc. Also the Key-Worker system, which, is in operation is designed to ensure residents’ wishes are responded to. All the Financial records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. All safety equipment is check and well maintained. Wentworth Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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 3 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 4 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 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 Lodge DS0000020877.V297404.R01.S.doc Version 5.2 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. 1. Standard OP19 Regulation 23 Requirement The registered person must ensure that the carpets on the first floor and lounge 3 and 4 are replaced. Timescale for action 01/12/06 2. OP 34 18 (1) ( c) The registered person must (i) ensure that all staff receives formal supervision meetings at least 6 times a year. 01/09/06 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 OP19 Good Practice Recommendations That the provision of shelving or a small cabinet for toiletries be provided in residents’ bedrooms by the sink. 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