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Inspection on 23/02/06 for Wheatsheaf Court Nursing Home

Also see our care home review for Wheatsheaf Court Nursing Home for more information

This inspection was carried out on 23rd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is a clear assessment process and care plans are individually detailed are well defined and detail the needs of residents and how these should be met. Clear guidance is given to staff members regarding keeping residents` care records up to date. Good attention is paid to monitoring if residents have falls and what kind of help they might need to prevent this from happening. Health care needs are well met, and residents have access to the appropriate treatment when needed. The registered providers are committed to staff training, with 73% of care staff holding a National Vocational Qualification in care in addition to the Registered Nurses employed.

What has improved since the last inspection?

There were no requirements made at the last inspection. Care planning systems are in the process of being implemented, which will make them more user friendly.

CARE HOMES FOR OLDER PEOPLE Wheatsheaf Court Nursing Home Sheaf Street Daventry Northants NN11 4AB Lead Inspector Mrs Linda Preen Unannounced Inspection 23rd February 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000012658.V276748.R01.S.doc Version 5.1 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. DS0000012658.V276748.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wheatsheaf Court Nursing Home Address Sheaf Street Daventry Northants NN11 4AB 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) 01327 705611 01327 705613 Interhaze Limited Mrs Andrea Jayne Goodall Care Home 58 Category(ies) of Dementia - over 65 years of age (58), Old age, registration, with number not falling within any other category (58) of places DS0000012658.V276748.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2003 Brief Description of the Service: Wheatsheaf Court is a home for 58 residents. It is situated in the centre of Daventry and has easy access to all local shops and green space, with the bus station being within a short walk from the home, and rail station some 4 miles away. The home provides services to the elderly and elderly mentally frail, in a building, which dates back to the 16th century and was formerly a hotel. The building has its own large car park and has a secure inner courtyard, which is planted out with various tubs and hanging baskets, these were grown by the residents as part of the activity programme, this area offers privacy and shelter for residents. The home also has a small, enclosed front garden. DS0000012658.V276748.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection reviewing previous requirements and recommendations, comments from residents and relatives and collating information provided by the service. The inspection took place over a period of four hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff files and training records were seen. 7 comment cards had been received from residents, 10 comment cards from relatives and information was available from a questionnaire completed by the providers of the service. Resident questionnaires were positive with the exception of one who did not like the food provided. Menus provided demonstrated that choice is offered at all meals and the cook was observed to be discussing the days’ lunch with residents during the inspection. Residents spoken to confirmed that the standard of food was good. 3 Relative comment cards recorded a perceived shortage of staff, but this was not confirmed at inspection. One of these comment cards also questioned the standard of care in the dementia unit, but again this was not substantiated on this inspection. The other relatives who commented were complimentary about the care received. What the service does well: There is a clear assessment process and care plans are individually detailed are well defined and detail the needs of residents and how these should be met. Clear guidance is given to staff members regarding keeping residents’ care records up to date. Good attention is paid to monitoring if residents have falls and what kind of help they might need to prevent this from happening. Health care needs are well met, and residents have access to the appropriate treatment when needed. The registered providers are committed to staff training, with 73 of care staff holding a National Vocational Qualification in care in addition to the Registered Nurses employed. DS0000012658.V276748.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000012658.V276748.R01.S.doc Version 5.1 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 DS0000012658.V276748.R01.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: DS0000012658.V276748.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 and 10 Resident’s plans ensure that staff are enabled to meet individual needs. Resident’s privacy is not always respected. EVIDENCE: A new system of recording care plans is in the process of implementation, and this will make them more user friendly. Two residents were chosen to case track on this occasion. Records demonstrated that clear individual instruction is provided in order to guide staff in meeting resident’s needs. Records of a care plan audit carried out by the Registered Manager were available to demonstrate quality assurance in this area. Records of General practitioner and other Professions Allied to medicine input were available. Staff treated residents with respect, and interaction between them was relaxed and friendly. The cook took the trouble to speak to residents after lunch to discuss their enjoyment of the meal, and it was notable that this discussion also took place in the dementia unit. However one staff member took a resident to the toilet on the ground floor and left the door open to the lounge, DS0000012658.V276748.R01.S.doc Version 5.1 Page 10 allowing anyone passing to see the resident on the toilet. This was noticed by another member of staff who quickly rectified this. Residents spoken to confirmed that the standard of care was good and that staff were very caring. DS0000012658.V276748.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14 Activities provide variety and interest to residents in the home, but no specialist activities are provided for those residents with a diagnosis of dementia. Residents are enabled to maintain links with their friends and the wider community. Resident choice is respected. EVIDENCE: An activities programme was on display in the home. The activities coordinator has started to develop individual activity profiles for each resident, outlining their preferred activity and participation in activities provided. These demonstrated that some residents had been out into the town, which they had enjoyed. Exercises, music and reminiscence are also enjoyed. However there is no special provision made for activities for those residents with a diagnosis of dementia, to meet their individual, specialist needs except for one lady who was “Dusting” during the inspection. Visitors are welcome in the home at any time and are able to see residents either in their own room or in one of the communal lounges. Records of resident choice concerning times of rising and retiring, food and activities were available in the files seen. They were observed to be sitting in the lounge areas or in their own rooms according to preference. DS0000012658.V276748.R01.S.doc Version 5.1 Page 12 DS0000012658.V276748.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents are protected from potential abuse. EVIDENCE: Staff records demonstrated that the appropriate Criminal Records Bureau checks had been carried out. Staff training records demonstrated that Protection of Vulnerable Adult training is provided with an update planned for the 22nd March 2006. DS0000012658.V276748.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 24 The home is generally safe, and meets the needs of residents in the home. EVIDENCE: A limited tour of the environment was undertaken. This demonstrated that all areas of the home were clean, tidy and well maintained in a homely manner. Resident’s rooms showed evidence of personalisation, with small items of personal furniture, pictures and ornaments on display. Separate housekeeping staff are employed to maintain standards of hygiene. DS0000012658.V276748.R01.S.doc Version 5.1 Page 15 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 The home is staffed by adequate numbers of staff, who are trained to meet the needs of the residents. EVIDENCE: Staffing is calculated using the Residential Forum Guidance tool, which is based on the dependency of residents in the home. A selection of staff files seen, demonstrated a robust recruitment practice designed to protect residents from harm. Records included references, medical checks and Criminal Records Bureau checks. Equal opportunity records were also kept. Some overseas staff are employed, and the relevant work permits are obtained. The company has a commitment to staff training, demonstrated by the fact that 73 of care staff hold a National Vocational Qualification in care. This is in addition to the Registered Nurses in the home. Overseas qualified nurses are also employed as carers whilst undergoing adaptation to enable them to register in this country. The training plan for the year demonstrates provision of regular updates in statutory Fire, Moving and Handling, Health and Safety and Food Hygiene as well as such things as Nutrition. Staff working in the dementia unit have undergone a training programme provided by the Alzheimer’s Society. DS0000012658.V276748.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 34, 36 and 38 The management approach promotes effective care practice in the home for residents’ care and protection. EVIDENCE: The Registered Manager is a 1st level Registered Nurse with several years experience of working with this service user group. She is currently working towards the Registered Manager’s Award. Resident “pocket money” accounts were seen and records found to be satisfactory. Records of the testing of fire alarms and emergency lighting were seen and found to be satisfactory. Maintenance records for other systems in the home are also in place. Radiators are covered and windows above the ground floor have their openings restricted to prevent residents falling out. DS0000012658.V276748.R01.S.doc Version 5.1 Page 17 Staff records demonstrated that regular formal supervision is provided and that all staff undergo induction and foundation training when they first join the company. DS0000012658.V276748.R01.S.doc Version 5.1 Page 18 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X X X 3 X X STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 X 3 X 3 DS0000012658.V276748.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? 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 OP10 Regulation 12(4) a Requirement Staff must pay attention to maintaining residents privacy when using the toilet. Timescale for action 14/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations Activities for residents with a diagnosis of dementia, should be research based and suited to the individual, specialist needs of this resident group. DS0000012658.V276748.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. Extracts may not be used or reproduced without the express permission of CSCI DS0000012658.V276748.R01.S.doc Version 5.1 Page 21 - 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. 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