Inspection on 10/08/07 for Wheathills House

This inspection was carried out on 10th August 2007.

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

Other inspections for this house

Wheathills House 22/05/06

Wheathills House 24/11/05

Wheathills House 18/07/05

Wheathills House 27/01/05

Wheathills House 16/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Wheathills House Brun Lane Kirk Langley Derby Derbyshire DE6 4LU Lead Inspector Angela Kennedy Key Unannounced Inspection 10th August 2007 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 Wheathills House DS0000020120.V340661.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. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wheathills House Address Brun Lane Kirk Langley Derby Derbyshire DE6 4LU (01332) 824600 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) info@wheathillshouse.co.uk www.wheathillshome.co.uk Mr Richard Whitehouse Mr Richard Whitehouse Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Plus One (1) Day Care Place Date of last inspection 22nd May 2006 Brief Description of the Service: Wheathills House provides residential care for 23 older people with medium to low dependency. The Home is a large period house set within a rural area of Derbyshire. There is no public transport available to and from the Home. The rooms provided are single occupancy with the majority having en-suite facilities. There is a chair lift provided. The weekly fees at the time of this inspection were: Funded residents – As per local authority rates Privately funded residents - £430 to £450 per week. Items not covered within the weekly fee: Hairdresser Newspapers/ magazines Prices on request As per items purchased Toiletries (can be purchased from home if required) As per items purchased Private chiropody Trips out Approx £15 per visit Paid for through homes amenities fund. (Fund raising and donations to home) Further information regarding Wheathills House can be obtained by telephoning or emailing the registered provider/manager at the home or by accessing the homes website. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and the inspection visit took place over four and a half hours. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with residents and their representatives. The inspection was focused on assessing compliance with defined key National Minimum Standards. The commission had requested the service to complete an Annual Quality Assurance Assessment and the information provided within this has also been used to inform this inspection report. Care home surveys were sent out to residents and the opinions within these surveys are included within this report. The registered manager was present at this inspection visit and provided the required documentation and information and a tour of the building. Some of the staff team were spoken with to ascertain their views of the service and their opinion of the training and support provided to them. Two residents were case tracked and these residents were spoken with. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at plans and other documents relating to that persons care, talking to staff regarding the care they provide, talking to the resident if they are able to communicate or observing the care they receive. Some of the other residents at Wheathills House and some visitors were also spoken with to ascertain their opinions of the service and support provided to residents. What the service does well: Wheathills house provides an attractive and well-maintained home for the people that live there. The meals provided at Wheathills House were nutritious and varied and were received well by the residents. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 6 A relaxed atmosphere was noted throughout the home and residents were able to take breakfast within their own private accommodation unless they chose not to. The provider/manager works in the home most days and supervises the care and services provided. 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. Wheathills House DS0000020120.V340661.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 Wheathills House DS0000020120.V340661.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): 1,3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Residents have access to information regarding the home, however this requires further development. Admissions to Wheathills House are not made until a full needs assessment has been undertaken to ensure the service is confident that staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We undertake a thorough assessment of prospective service users to ensure their care needs can be met. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 9 Our plans for improvements within the next 12 months is to develop a more comprehensive user/visitor surveys On the day of the inspection visit. A requirement from the last inspection was that residents and prospective residents should be supplied with a copy of the homes Service User Guide or evidence must be in place to demonstrate if individuals do not wish to receive their own copy of the guide. The registered manager confirmed that this requirement had not yet been met. A copy of the homes service user guide was available in the duty office for anyone wishing to read it. The registered manager stated that he would print off copies of the service user guide for all of the residents at Wheathills House within the near future, and confirmed that any prospective residents would be given a copy of the service user guide. An assessment of needs was undertaken for residents prior to admission by the home. The care management team also assessed residents funded by the local authority. The pre admission needs assessments of the two residents case tracked were seen. The information contained within these assessments included information and contact details of next of kin and professionals involved in the individual’s care, and the carer/ family involvement. Areas of need addressed within this assessment included; mobility, speech, hearing, sight, communication, feet, washing, bathing, oral health, eating and dietary preference and requirements, continence, dressing, manual dexterity, personality, mental health and memory. Assessments were also in place for these two residents that had been undertaken by the care management team, as the local authority funded their care. This demonstrates that sufficient information is gathered prior to admission to ensure each resident’s needs can be met by the home. Residents are able to visit the home on a month’s trial visit prior to admission, this allows prospective residents, their family and friends an opportunity to assess the suitability of the home in meeting their personal preferences and Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 10 also allows existing residents the opportunity to assess the suitability of the prospective resident to live within their home. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service Residents health,personal and social care needs and how they are to be met are set out in their plan of care, with resident involvement and are reviewed regularly. The homes medication practices protect residents and residents were treated respectfully and their right to privacy maintained. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated We have continued and upgraded our care packages and provide complete comprehensive care plan packages, and have individual plans of care with documentary evidence. We will continue to utilise ongoing staff training and development. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 12 On the day of the inspection visit. The two residents files seen had care plans that had been developed from the resident’s pre-admission assessment of needs. Improvements were noted in care plans and risk assessments. The new care plan system that was discussed at the last inspection was now in place. This system incorporated a personal profile of the individual, which addressed areas such as the personal relationships and family history of the individual, along with significant past and present events and the improvements that could be made to enhance that person’s life. Care plans, assessments, medical information including medical history, prescribed medication and a record of all health care appointments and records was in place within the new care plan system. The needs and preferences of each individual were included and addressed areas such as physical and mental abilities, health and hygiene, food, drink and dietary requirements and preferences, religion, cultural and social requirements and choices. The information provided for the two residents who were case tracked was detailed and clearly informed staff of the support each resident required in order for their needs to be met. Assessments in place included mental health, physical health, personal risk, moving and handling, behaviour, pressure sore assessment, nutrition, weight records and falls assessments. Care plans had been generated from these assessments and were reviewed each month by the head of care and key worker. Evidence was in place that demonstrated that residents were involved in the formulation of their care plans. Comments from residents regarding the care provided by the staff team was positive and comments were made such as “ the staff are very good, they’re always very helpful when you need them” and “ happy with care provided, I can always see the doctor if I need to”. Residents spoken with confirmed that the staff team were respectful in their attitudes towards them and when providing personal care. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 13 Sufficient staff at the home had undertaken the required training in order for them to administer medication to residents . The homes procedures for the storage,administration and handling of medicines was examined and found to be satisafactory. At the last inspection the home did not provide a list of staffs names and initials for staff that have been trained and administered medication, a list was now in place of all staff initials/ signatures. This practice allows the manager/person in charge a means of identifying individuals that have administered medication. Wheathills House DS0000020120.V340661.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recreational opportunities for residents have improved and plans to develop these further are in place. Residents are able to maintain contact with family and friends and the meals, which received positive comments from the residents, were provided within attractive surroundings. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We provide a good choice of well-balanced nutritious meals; this is evidenced through resident’s feedback at meetings and reviews. We could encourage more integration with the local community. We have increased the frequency of organised activity sessions and we plan to organise additional coffee mornings/ social events and open days. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 15 We plan to improve outdoor facilities and this includes providing a sensory patio area. On the day of the inspection visit. It was confirmed by the manager that an activities coordinator was in post and was employed for six hours a week, and worked on Monday’s and Thursday’s. The activities undertaken included luncheon trips out and entertainment within the home, such as chair aerobics, bingo and quizzes. Comments from the residents regarding the activities included “ I enjoy the bingo and organised activities” and “ a wider variety of activities would be appreciated”. Two residents spoken with said they liked to sit and chat and felt there were enough activities organised. One resident said, “ it would be nice to talk to staff but they are always busy”. As stated above the registered manager confirmed plans to organise additional events at the home and provide a sensory area within the garden for residents to access. The local vicar visits the home each month and offers communion to any of the residents who wish to partake. A hairdresser visits the home each week for residents within the home. The hairdresser was at the home on the day of inspection and many of the residents were seen using this service. One resident spoken with said that she had continued to visit the hairdresser that she had used before moving into Wheathills House, and was able to continue visiting through the assistance of a family member. At the last inspection a requirement was made for advocacy services to be displayed within the home. The registered manager confirmed that information and contact details regarding local advocacy services were provided within the service user guide. However, as stated in Standards 1 to 6 at the present time there was only one copy of the service user guide available at the home, and to ensure resident and their representatives are aware of the information regarding local advocacy services, it is recommended that advocacy services be displayed in a conspicuous area of the home. This will ensure everyone is aware of this service, and further demonstrate the homes open and inclusive approach in ensuring autonomy is enhanced for the residents at Wheathills House. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 16 Visiting times at Wheathills house were open and residents spoken with confirmed that they were able to receive visitors at any time and within their private accommodation if they chose to. Some of the visitors spoken with also confirmed this. Two choices were provided at the lunch and dinner time meals. Confirmation with the cook confirmed that people was asked each evening of their preferred lunchtime meal the next day. The cook also confirmed that all meals were cooked fresh on the day. Discussions with the cook demonstrated that resident’s opinions regarding meals were taken seriously and acted upon. An example of this was that the cook had increased the cooking time of vegetables to residents’ preferred taste. Breakfast was served within resident’s own private accommodation and cooked breakfasts were available if desired. The registered manager confirmed that one resident chose to take breakfast within the dining room. The residents spoken with were complimentary regarding the meals provided, comments made included “the food is excellent” and “ I find the food very good and enjoyable”. No concerns or complaints were made by any of the residents spoken with or within any of the residents surveys returned regarding the meals provided. During a tour of the building the dining room was seen and was pleasantly furnished and attractively dressed in preparation for lunch. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 17 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes complaints procedure is simple, clear and accessible to residents and demonstrates that any concerns or complaints will be acted upon promptly. Staff training and policies within the home protects the residents from abuse. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We listen to and act upon any complaints or comments received. We encourage stakeholders to discuss their views and comment on service provision. We have improved and amended the complaints procedure No complaints have been received in the last twelve months and no safeguarding adults investigations or referrals have been received. On the day of the inspection visit: A copy of the homes complaints procedure was on display within the entrance to the home and all residents were issued with their own copy at the time of admission to the home. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 18 Comments from residents regarding how to make a complaint confirmed that the majority were aware of the complaints procedure and they would speak with the manager or staff if they had any concerns or complaints. As stated above the home had not received any complaints within the last twelve months and no complaints have been made to the commission in the last twelve months. Staff received safeguarding adults training at the home, and the staff spoken with confirmed this. The manager stated that this training is due to be undertaken again by some of the staff team. The safeguarding adults policy was not looked at, however the registered manager confirmed that the policy in place was in line with Derbyshire Local Authority procedure, who are the lead investigators in any safeguarding referrals and investigations. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 19 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): 19,26 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 and well-maintained home, which ensures their safety and comfort, and the planned developments in place will further enhance the environment for residents. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We provide comfort and security in a quality environment. We could further improve our out door facilities and our plans for the next 12 months are to do this with the aid of a grant. We are going to include a Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 20 sensory ‘patio’ area, improve and upgrade paving areas and extend exterior access areas. We also intend to provide a passenger lift in addition to the existing stair lift. We aim to provide better access externally and internally for service users, achieving this by further structured development of the home, i.e. provision of a passenger lift, additional hand rails, and improved paved access externally. On the day of the inspection visit: . At the last inspection one of the toilets on the ground floor did not have a wash hand basin and a requirement was left with regard to this. A wash hand basin has now been fitted into this room. This promotes the infection control measures of the home. Refurbishment remains ongoing throughout the home and this included the purchase of a new bath and bath seat in one bathroom seen, and the refurbishment of one of the bedrooms that at the time of this inspection was unoccupied. The laundry area was seen and was satisfactory. Sluicing facilities were incorporated within the homes washing machine. Resident’s clothes were laundered at the home and a private company were used for the laundering of the homes linen. Residents spoken with were happy with the laundry services provided. One visitor commented on the repairs to their relatives clothing such as sewing on buttons and taking up hems and stated that they had undertaken these tasks for their relative. This was discussed with the manager who stated that staff would undertake these tasks for residents if required. At the time of this inspection visit, building work was being undertaken. This work would eventually provide eight additional bedrooms, a passenger lift, a new laundry room, a new staff room and an extension to the conservatory. The registered manager provided a guided tour to explain the plans and work in progress. No disruption or disturbance from this building work was noted to the residents living at Wheathills House. Discussions also took place with the registered manager regarding the plans to extend the exterior access, which included a sensory area in the garden for residents use. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 21 Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 22 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally the numbers and skill mix of the staff team are able to meet the needs of the residents, but continuous assessment of the staffing levels should be monitored to ensure any additional needs of residents are met. The homes recruitment practices demonstrate that the home strives to protect residents from abuse or harm. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We provide good levels and quality staff provision and have a comprehensive staffing rota providing appropriate levels of care. We have developed additional supervision and training opportunities and our plans for further improvement within the next 12 months include ongoing support and training provision and improvements to the staff room and locker facilities. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 23 Out of the fourteen care staff, seven have achieved an NVQ in care at level 2 or above and 1 member of staff is working towards an NVQ in care qualification. On the day of the inspection visit: The staffing rotas were seen and demonstrated that sufficient staff were on duty to meet the assessed needs of the residents on the day of inspection. Three staff were on duty in the mornings and two staff were on duty from 3pm until 10pm, with an additional member of on duty from 4pm until 9pm.Two staff were on duty throughout the night. Staff spoken with felt that the staffing levels in place were in general satisfactory in meeting the needs of the residents, but felt that there were occasions when additional staff would be beneficial, such as when residents were unwell and required additional support and care. Comments from residents relating to staffing levels were mixed. Some residents felt the staffing levels were good and indicated that their needs were always met by the staff team. Some residents indicated that their needs were usually met by the staff team but said there were occasions when they had to wait for support from staff. Some residents commented that the staff were always very busy and often did not have time to ‘chat’ with them. Comments made included, “it would be nice to talk to staff more but they are so busy” and “it would be nice if there was more conversation”. Domestic staff were also on duty each day and as stated in standards 12 to 15 an activities coordinator worked for three hours on two days a week to coordinate activities for residents. The total number of care staff employed at Wheathills House excluding the manager was fourteen. Seven of these staff had achieved a National Vocational Qualification (NVQ) in care, all at level 2 and some at level 3. One member of staff was presently working towards this qualification. The service therefore meets the national target of 50 of the staff team having achieved a National Vocational Qualification at level 2 or above. Three staff files were seen and all had the required information and documents in place with regard to staff recruitment, this included application forms and 2 satisfactory references, this demonstrates that the recruitment practices in place enhance resident’s protection. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 24 Mandatory training was provided for staff as and when required to update them in safe working practices. This included fire safety training twice a year, food hygiene training, first aid, moving and handling and safeguarding adults. Staff spoken with confirmed that the training opportunities provided were good and that they were updated in mandatory practices as required. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 25 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): 31,33,35,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Wheathills House was well managed and runs with the safety, welfare and best interests of residents foremost. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We run the home in the best interests of service users, we have regular service user reviews and meetings. As a result of listening to people who use our Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 26 service we have improved the provision of the activities coordinator and increased the provision of social activities and entertainments. We have an appropriately qualified management structure and utilise quality assurance methodology. We seek to have more frequent stakeholder surveys. The manager has achieved the registered managers award. On the day of the inspection visit. The registered manager has a qualification in Social work and 15 years experience in managing the home and has now achieved the Registered Manager Award qualification. Staff spoken with were positive regarding the registered managers abilities to run the service and confirmed that they enjoyed working at Wheathills House. At the last inspection it was stated that staff meetings were not undertaken on a regular basis. The registered manager confirmed that staff meetings were now held each month. Staff spoken with also confirmed this. Regular staff meetings allow the manager to pass on any relevant information to all staff and gives staff the opportunity to discuss any issues or ideas they may have. Staff that are unable to attend would then have the written minutes of meetings to allow them to be kept up to date. Quality assurance systems were in place at Wheathills House. Residents meetings were organised by the activities coordinator and held each month and any actions taken were included in the minutes of meetings, which were available for all residents and their representatives. Residents were able to keep their own monies if they wished to and were able to. Some resident’s monies were kept securely by the home and financial transaction records were in place regarding the monies held for each resident. The monies of one of the resident’s case tracked was checked and corresponded with the records held. The other resident case tracked did not have any monies held by the service. At the last inspection it was stated that formal staff supervision did not take place on a regular basis. The registered manager confirmed that formal staff supervision was now undertaken every other month. This demonstrates that the manager ensures that all aspects of practice and career development needs are identified and put in place as required. A requirement was made at the last and previous inspections regarding the registration certificate of the home, as at that time it was displayed within the duty office. Discussions had taken place with the registered manager regarding Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 27 the suitability of this location, as the registration certificate should be accessible to anyone who wishes to see it. The registration certificate has now been moved to an area that is accessible to all residents and visitors. The fire safety logbook was seen and demonstrated that the required fire safety checks and procedures were undertaken The service/maintenance documentation indicated that residents are protected by robust procedures, with all evidence of electrical services having been suitably checked/maintained. No gas services were supplied to Wheathills House. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 28 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 2 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 29 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 OP1 Regulation 5(2) Requirement The registered provider must supply each resident with a copy of the Homes Service Users Guide, or have evidence in place to demonstrate that residents do not require their own copy. (Previous timescale of 31/07/06 not met) Timescale for action 31/12/07 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. 2. Refer to Standard OP14 OP27 Good Practice Recommendations Contact numbers of advocacy services should be conspicuously displayed within the home for residents and their representatives use if required Staffing levels should be continuously assessed to ensure the numbers of staff on shift can meet resident’s needs. Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Wheathills House DS0000020120.V340661.R01.S.doc Version 5.2 Page 31 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!