Inspection on 16/01/06 for Werneth Lodge

This inspection was carried out on 16th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Werneth Lodge 16/04/07

Werneth Lodge 21/09/05

Werneth Lodge 02/03/05

Werneth Lodge 25/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Werneth Lodge 38 Manchester Road Werneth Oldham OL9 7AP Lead Inspector Michelle Haller Announced Inspection 16th January 2006 09:00 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 Werneth Lodge DS0000005524.V269441.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. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Werneth Lodge Address 38 Manchester Road Werneth Oldham OL9 7AP Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 624 4085 0161 284 3076 hilmof@lineone.net Werneth Lodge Limited Ms Hilda Moffett Care Home 42 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (7), Sensory Impairment over 65 years of age (6) Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 21 OP up to 8 DE(E) up to 6 SI(E) up to 7 PD(E). Date of last inspection Brief Description of the Service: Werneth Lodge is a residential home providing 24-hour personal care and accommodation for 42 service users over the age of 65 years. Werneth Lodge Ltd privately owns the home. It is situated approximately one mile from Oldham town centre and is close to local shops, a doctor’s surgery and pubs. Bus services are available close by, providing access to Oldham Town Centre or Manchester City centre. A cobbled driveway and garden area lead to the main entrance where a wheelchair lift is available. The home also incorporates what was once a coach house. Bedroom accommodation is available on both the ground and first floors. There are thirty-eight single bedrooms and two are shared. All bedrooms have en-suite facilities. Accessible toilets are situated close to bedrooms and communal areas. Access to the first floor is via a passenger lift. Bathing facilities include three assisted baths and one shower room. Communal areas are provided and include a number of quiet lounges, a sun lounge and a lounge designated as a smoking area. There is a separate dining room. Off the sun lounge there is a garden area with patio furniture available for service users. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was completed over a period of seven and a half hours. The home had been informed that inspection was to take place this is called an announced inspection. In the course of the inspection four service-users files and other records concerning the support and care of service users were examined fully. Commission for Social Care Inspection (CSCI) comment cards had been distributed, these are tick box questionnaires that give the recipients the opportunity to make a simple assessment of the home. At the time of completing this report the following number had been returned: ten from service users, nine from relatives and visitors and three from general practitioner surgeries. Policies, procedures and other documents concerning the running of the home were also assessed. Three service users, two service user representative and two members of staff were interviewed. The interactions between service users, their representatives and staff where also observed and the procedure for administering medication scrutinised. In addition a tour of the private and communal areas of the building was undertaken. Management representation was present throughout the inspection process. In order to get a full picture of this home it is important that this report is read in conjunction with the previous report for his home dated 21/09/05. What the service does well: Werneth Lodge is a comfortable and well-managed home. During this inspection service users were well groomed, and their health, social and psychological needs fully met. The home was comfortable, warm and welcoming. Service users continue to confirm that staff are caring, the food plentiful and that they have freedom to choose what they while living in the home. Comments included: ‘Friendly staff and caring’ and ‘I love it, I’m well fed, well looked after and I can do what I like’. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 6 The home provides potential service with accurate information about the services and facilities it offers. The home has a good relationship and rapport with health and social care professionals, and health care and monitoring is of a high standard. Service users are empowered to make choices about their support and daily life when living at Werneth Lodge. Service users are supported in fostering excellent relationships with staff, who are dedicated to providing an excellent standard of physical and emotional care. The environment at Werneth Lodge meets the needs of the services users and staff and there is an improvement plan for the home. The staff are very well informed and are managed affectively. 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. Werneth Lodge DS0000005524.V269441.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 Werneth Lodge DS0000005524.V269441.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): 1 and 4 The manager, the homes statement of purpose and service user guide provides prospective service users with sufficient detail to enable them to make an informed decision about admission to the Werneth Lodge. EVIDENCE: The service user guide was examined and assessed as providing detailed information concerning the facilities and care practises in the home. Furthermore the family of a prospective service user visited the home during the inspection. It was therefore possible to observe the manager discussing all the issues concerned with receiving residential care; the family were also taken on a tour of the building and given a opportunity to view all the available rooms. The service user guide is due to be reviewed and at this time the information about staff training and experience will be updated to give a true reflection of the home abilities to meet the needs of service users. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 9 The outcomes for National Minimum Standards 2,3 and 5 were inspected and assessed as reaching the expected targets at the inspection of September 2005. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 and 10 The medication at Werneth Lodge is for the most part well-managed promoting good health. The health, physical and social care provided in the home fully promotes the physical and psychotically well being of service users ensuring that they are happy through maintaining a feeling of self worth and value. EVIDENCE: In the course of the inspection the medication record sheets were examined, along with the homes policy and procedures for storing and administering. Medication administered the home was, for the most part, correctly recorded and fully accounted for. Although omissions were detected they did not put service users at risk and, when discussed with the manager, were immediately corrected. During the course of the inspection four service users and three relatives were interviewed, ten service users, nine relative and two general practitioner comment cards were returned to the CSCI. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 11 It was clear from their comments that staff are extremely thoughtful and careful when seeing to the needs of service users. Comments included ‘ I feel there must be a bit of love goes into the care’, ‘Everything is smashing really, staff have a sense of humour- everyone is always treated very well and with dignity’ also ‘My relative is very happy at Werneth Lodge and I do not have a worry about her care.’ All comments made about the care in the home were very positive. As identified during previous CSCI inspections, records and reports fully demonstrated that routine and specialist health needs were met, ensuring that service users were supported in keeping as healthy and independent as possible. The home has ensured this through listening to service users, the assessment and care-plan process, staff training and supervision and prompt access to health professionals such as general practitioner, specialist nurses, podiatrists and dentists. The outcomes for National Minimum Standards 7,8 and 11 were inspected and assessed as reaching the expected targets at the inspection of September 2005. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 The home provides opportunities for service users to participate in a variety of social activities and events in the home that will assist in preventing boredom. The dietary needs of service users are well catered for with a balanced and varied selection of food available that meets the service users tastes and choices. EVIDENCE: The vast majority of service user comment cards indicated that activities in the home and met with their expectations. However, the assessment of service users social history and interests was sketchy and did not fully demonstrate that individual interests were taken into consideration, furthermore two service users commented that activities met their needs sometimes and a third, though pleased with the activities in the home, stated that she missed going out and about. Staff have attended specialist training provided by Age Concern in relation to activities and a calendar of activities has been developed. These activities include: Quizzes and general knowledge sessions, memory and reminiscence games; bingo; board and ball games, dominoes and card and sing-a-longs. Service users also described special celebrations that had taken place in the home including Christmas, bon-fire night and birthday parties. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 13 Female service users also commented on the regular hairdressing and manicure sessions that took place in the home. The menus indicated that meals in the home are varied and nutritional. All those interviewed confirmed that meals were served according to the preference of the service users. Examination of the menu record book confirmed that service users were given a choice of meals, and meals were served in a manner that was appetising and acceptable to the individual. Observations made during lunchtime confirmed that service users could choose the size of their portions; further more the diabetic option was attractive and wholesome. Staff supported those who needed assistance to eat with dignity and respect. The lunchtime meal was sampled and the main choice was freshly prepared lamb casserole with peas, carrots, cauliflower and mashed potatoes. During the day service users were observed enjoying meals, snacks and drinks. The store cupboard was examined and it was noted that good selection of wellknown brand name foods were in stock, as well as a variety of ingredients baking and meal preparation. Comments included: ‘My mum loves it and I’m very surprised as she’s can be a fussy eater and never once complained.’ The outcomes for National Minimum Standards 13 and 14 were inspected and assessed as reaching the expected targets at the inspection of September 2005. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Action is taken to ensure that service users can exercise their civil rights and have equal opportunities to participate electoral processes. EVIDENCE: The manager has supported all service users to complete electoral registration forms and each has their electoral number recorded on file. The National Minimum Standards 16 and 18 were inspected and assessed as reaching the expected outcome at the inspection of September 2005. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Werneth Lodge promotes the comfort of service users by providing a clean environment, in addition furniture, fixtures and fittings are homely and domestic in nature and, for the most part, well maintained. EVIDENCE: During the course of the inspection a tour of private and communal areas of the home was undertaken. It was noted that all areas of the home were clean and free from unpleasant odours. This is an improvement from the previous inspection and was commented on by relatives. The manager stated that the refurbishment / maintenance was being followed, and this was evident by observation of replacement furniture that had been purchased. Discussion prioritising items that needed to be replaced took place, and the manager agreed to consider revision of the plan. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 16 Improvements to the environment since the last inspection include the provision of florescent light switches in the bed rooms of service users with a history of falls, replacement of sink units and televisions are been installed in all bedrooms. The outcomes for National Minimum Standards 20,21,22,23,24,and25 were inspected and assessed as reaching the expected targets at the inspection of September 2005. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Staff are well trained and supported resulting in a high morale, ensuring that service users consistently receive the best support. EVIDENCE: Staff ratio on the day of inspection consisted of one manager, one senior care worker, four care staff, one domestic staff, one cook and a maintenance person, seeing to the needs of thirty-six service users. This is in line with the staffing ratio agreed by the previous registration body Oldham Local Authority. During the inspection the manager produced certificates verifying that 92 of care staff have completed National Vocational Qualification (NVQ) level 2 in care. Furthermore the cook and domestic staff have attended relevant training in order to ensure that they are kept up to date with best practice in their area of work. The training calendar identified the following courses were completed by staff: dementia care- for which the attendant was awarded 100 in the final exam; NVQ level 3 in care; moving and handling, medication administration; food hygiene; First aid and Fire-safety. The notes of staff meetings demonstrated that these are also used to update staff on new ideas and initiatives in areas such as health and safety, prevention of pressure areas and other aspects of care. Discussion with staff confirmed that new ideas were put into practice and the success discussed and noted accordingly. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 18 Supervision records further suggested that staff are supported in meeting their goals and are kept informed about what is expected of them in relation to providing a good standard of care. Staff who were interviewed were keen to say that the home was a happy home, well run and the service users treated with kindness and generosity. Werneth Lodge management have been achieved the Investors in People award further demonstrating that staff are given every opportunity to succeed in their work. The outcomes for National Minimum Standards 28 and 29 were inspected and assessed as reaching the expected targets at the inspection of September 2005. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of service users, staff, relatives and health practitioners. EVIDENCE: During the process of inspecting the home the Quality assurance system was thoroughly examined. The system has been in use for four consecutive years and involves an anonymised questionnaire. The questionnaires are analysed and changes made accordingly. The outcome from the quality assurance is also published in the service user guide when it is updated. All comments were favourable. Service user meetings are held about five times a year and it was noted that ideas particularly relating to the menu and activities are discussed, taken forward and put into place. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 20 The outcomes for National Minimum Standards 31,32,34,35 and 36 were inspected and assessed as reaching the expected targets at the inspection of September 2005. Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 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 3 X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 4 18 x 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 X X X X x Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 22 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 Werneth Lodge DS0000005524.V269441.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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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