Inspection on 30/04/08 for Wheatfield Court

This inspection was carried out on 30th April 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 27/11/2008.

CARE HOMES FOR OLDER PEOPLE Wheatfield Court Wheatfield Road Westerhope Newcastle Upon Tyne Tyne & Wear NE5 5HQ Lead Inspector Janet Thompson Key Unannounced Inspection 30th April 2008 10:00 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 Wheatfield Court DS0000070980.V363483.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. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wheatfield Court Address Wheatfield Road Westerhope Newcastle Upon Tyne Tyne & Wear NE5 5HQ 0191 2145104 0191 2714992 wheatfieldcourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross BC OpCo Ltd 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) Vacant Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 60 The maximum number of service users who can be accommodated is: 60 21st February 2008 2. Date of last inspection Brief Description of the Service: Wheatfield Court is a purpose built home with sixty beds. It is located in the centre of Westerhope in Newcastle. It provides nursing and residential care for older people. Other professional input is available from members of a multidisciplinary team including physiotherapists, speech therapists, chiropodists and dieticians. Residents, who are publicly or self-funded, are under the medical care of GPs and the Primary Care Team. In addition there are NHS continuing care beds and beds for NHS respite care. Accommodation is provided over two floors. The home has fifty-seven bedrooms three of which are double rooms. All rooms have en-suite facilities. There are four dining rooms and five lounges plus a family room that includes overnight facilities when needed. There is an adequate supply of assisted bathrooms and toilets. Outside there is a private patio area and large and very pleasant central garden with sensory and water features. Car parking facilities are available at the front of the home. The fees for the home are agreed individually in the contract of residency. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 5 Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. This is kept in the reception area of the home. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use the service experience excellent outcomes. This was an unannounced inspection. The previous manager for the home has left. An acting manager is in post and has been at the home for four weeks. How the inspection was carried out: Before the visit we looked at: Information we have received since the last inspection visit. How the service dealt with any complaints or concerns since the last visit. Any changes to how the home is run. The manager’s views of how well they care for people. We always seek the views of people who use the service, their relatives, staff and other users of the service. This is usually given to us in the form of questionnaires. At the time of writing this report we had not received any response from questionnaires. During the unannounced visit we: Talked with people who use the service and some of the staff. Looked at the information about people who use the service and how well their needs are met. Looked at other records the home is required to keep. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, comfortable and safe. Checked what improvements had been made since the last inspection visit. The acting manager was at the inspection. Feedback was given to her at the end of the visit. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? Window restrictors have been replaced to promote the safety of residents. CSCI carried out a pharmacy inspection in February 2008. The pharmacist made some recommendations. Most of these had been met. The remainder were about supplying new cupboards and these are on order. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 8 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. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 9 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 Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 10 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 and 5. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed, taking account of their needs and wishes, so that they can be assured this is a suitable home and receive an individual care service. EVIDENCE: Three pre-admission assessments were seen. They contained enough information to enable staff to assess if they could meet the individual needs before admission. Information from other health professionals and carers was included in the assessment. On the day of the inspection one resident was being readmitted for respite care. We saw that the staff greeted him warmly by name. They said: Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 11 “It’s our (name), welcome back, let me get you sat down and I’ll bring you a nice cup of tea” Staff helped him settle in and unpack. What was good about the admission was that all levels of staff were involved, the domestic, carers and a nurse. Staff seemed to already know his likes and abilities. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 12 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 excellent. This judgement has been made using available evidence including a visit to this service. People receive personal care that is well planned and takes account of their diverse needs. EVIDENCE: Five care plans were examined and three were case tracked. This means that we spoke to the individual residents or observed their care then matched our observations to what was written in the care plan. All three case tracked care plans did reflect the actual care needed by the residents. Care plans took account of peoples diverse and differing needs. People were supported to achieve independence and meet individual goals. Other health professionals contributed to the planning of care. These contributions were clearly recorded. Some of the care plans, on the NHS unit were still written on forms supplied by the previous organisation. The forms had been badly photocopied and were difficult to read. The manager had already identified that this now needed to be a priority. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 13 Residents looked clean and well cared for. One of the residents case tracked was highly dependant. She required end of life care, had complex medical needs and multiple dressings. This person was a very high risk of pressure sores but did not actually have any. Staff were very knowledgeable about her needs and she required a lot of staff time for her care. The care given to her did match with her care plan and it is a credit to the hard work of staff that she had few, if any, complications of immobility. The activities co-ordinator described how one resident had arrived in a poor physical state from living rough. This person had been in many care settings before and refused to stay. Staff had managed to make him feel at home in Wheatfield Court, he was now healthy and happy there. One resident, suffering from very painful joints said that she was better since she had moved to the home because of the care she had from staff. Medication ordering, administration, storage and disposal were examined. A hospital pharmacist checks the medicines for the continuing care patients every two weeks. All medicines are audited by the nurse every week and by the manager monthly. All medicines were accounted for and all those administered were signed for. CSCI conducted a pharmacy inspection in February 2008. The pharmacist then said that the controlled drug cupboard was too small. A lot of medicines were fitted in to it. This made stock control and auditing very difficult and increased the risk of drug error. New cupboards have been ordered and should be delivered in the next few weeks. Staff were seen to treat residents politely and respectfully. Residents agreed that they were treated well. They said: “The staff here are great” “Yes, I am well cared for, I have everything I need really” “The staff are always nice and friendly” Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 14 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 excellent. This judgement has been made using available evidence including a visit to this service. People are supported to lead a healthy and fulfilling personal lifestyle. This takes account of their wishes and diverse abilities. EVIDENCE: An activities co-ordinator, referred to by the organisation as the diversional therapist (DT), is employed at the home for 30 hours per week. She supports residents to use a range of services within the local community. Residents are encouraged to be in control of their own lives and enjoy their own interests and hobbies. Residents go out to whist at the local church hall, one resident goes out to play Bingo. On the day of the inspection some residents were knitting, sewing and painting. Every year a group of residents is taken on holiday to Kielder. The range of activities was very good. Residents said: “We have a good time in here” Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 15 “If you want to join in you can, if you don’t you don’t” “We usually spend the morning doing something, talking, sometimes arguing with each other, keeps things interesting” “We would all like to go out more but I think transport is the problem” The residents and the DT said they only have access to transport once per month. This is something that is common to all of the homes in the group. The manager is going to investigate further possibilities for transport. Residents also said they liked the food. We ate the food at the home. It was well presented. The food was hot enough and very tasty. The standard of the cooking was very good. The food option that day was fish and chips. We saw the Cook using fresh fish and hand dipping it in homemade batter before frying. The home is preparing to take on a new nutritional system. This is an independent nutritional tool that devises balanced menus and promotes healthy living. All residents spoken to felt they had choice and control over their lives. Relatives present in the home during the inspection were very familiar with their surroundings. They were making coffee for themselves, chatting with staff and other visitors. The atmosphere was very good. The staff were obviously busy but coped very well. They remained cheerful and helpful. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 16 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. People who use the service are protected from harm through thorough policies, procedures and staff training. EVIDENCE: Staff follow the home’s policies and procedures relating to the management of complaints and allegations of abuse. Staff are kept up to date with information and training. Staff training on the protection of vulnerable adults is up to date. Residents are told how to complain through the complaints procedure. This was clearly visible within the home. Residents spoken to said they would complain if they needed to but none of them had any current complaints. There were two recorded complaints this year. One was from an equipment collection service regarding a misunderstanding about equipment returns. The other was more a statement of events that occurred when a relative behaved inappropriately in the home. Both were handled very well and very quickly. On the day of the inspection the manager dealt with a relative who made a verbal complaint. She did this very sympathetically to the evident satisfaction of the relative. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 17 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 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe comfortable home that is generally pleasant and clean. EVIDENCE: The home was generally clean and free from odours. The furniture and general décor provides residents with a comfortable homely environment. They said the home was warm enough and: “It’s as clean as you’ll find anywhere” “I love my room and everything always smells fresh” The home was generally well maintained. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 18 The laundry room was clean and tidy. Clothes were well organised. The room is equipped with suitable washing and drying machines to enable linen to be washed at high temperatures. This protects residents from potential spread of infection. The housekeeper reported that the cleaning fluids supplied by the organisation are good and do an efficient job. Some of the bins in the home do not have lids that are operated by foot. This is essential to limit contamination and the spread of infection. Records show that the water in some staff hand washing sinks is as hot as 60 degrees. This means that good hand washing techniques cannot be followed, as staff cannot wash their hands under running water. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 19 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. People using the service are supported and protected through staff numbers, skill and ability. EVIDENCE: The current staffing levels are: Daytime. 8am-8pm. Four care staff and one nurse on the continuing care unit. Two care staff and one nurse on the ground floor nursing unit. Three care staff and one nurse on the first floor nursing unit. Night time. Four care staff and two qualified nurses. CSCI received an anonymous complaint indicating that staffing was as low as four carers through the day and two carers at night. On the day of inspection there were only three carers on the continuing care unit. The acting manager said that on occasion staffing had dropped when sickness or holidays left the home understaffed. She is currently recruiting to avoid this problem. Staff were very busy, a lot of residents were very Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 20 dependant. We did not think that there was enough staff on at night to guarantee the continuation of care for residents. We also think the day time staffing on the continuing care unit should be increased so that the nurse does not have to carry out care duties on this busy unit. Training records showed and staff confirmed that 91.6 of staff had achieved NVQ level 2. That is well above the required 50 minimum. Many staff have worked at the home for a long time now. The team is well established and each person seems to understand his or her role. Essential training for staff was up to date and refreshers are planned. Four staff recruitment files were examined. These were for one Cook, one nurse and two long-term employed carers. All contained good information. Thorough background checks had been carried out before employment. Residents were protected through checking of criminal records information for all employees. Interviews were conducted against a person specification list to ensure fair and equal employment. Four applications for potential employees were also examined. The same good procedures had been started for these people. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 21 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, 32, 33 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service are protected through reflective management taking account of the diverse needs of the service. EVIDENCE: The home does not yet have a registered manager. This means the manager is in post but has not been assessed by CSCI as ‘fit’ to manage. The acting manager appears competent and skilled enough to run the home. She has already assessed areas requiring improvement and started to take action. The manager appears to have developed good communication links with staff, residents and relatives already. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 22 Residents and staff spoken to said that, so far, they thought the manager would be good for the home. Staff spoken to were clear about their role and responsibilities. The home operates a quality assurance system. Residents, their relatives and professionals are consulted about the service provided. Servicing and maintenance agreements are in place for facilities and equipment. Risks in the environment and tasks, including safe working practices are assessed and reviewed. All fire safety checks; tests and instructions to staff are conducted at the required frequency and recorded. There were no obvious trip hazards in the home. Fire exits were clear of obstruction and all hazardous fluids locked away. Residents’ personal monies were not counted on this occasion. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 23 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 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X X X 3 Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes. 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 OP9 Regulation 13 (2) Requirement Medicine cupboards and refrigerated storage must be of adequate size to store medication safely and to meet best practice guidance. Ensure that staff have facilities to enable them to follow good hand washing practices. The home must have an appointed manager who is registered with CSCI. Timescale for action 30/05/08 2. OP26 13(3) 01/07/08 3. OP31 8 01/08/08 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 OP27 Good Practice Recommendations Review the numbers of staff on duty to ensure that residents needs can be met at all times. Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Wheatfield Court DS0000070980.V363483.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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