Inspection on 17/08/05 for Wilford House

This inspection was carried out on 17th August 2005.

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

Wilford House 03/07/08

Wilford House 06/08/07

Wilford House 26/07/06

Wilford House 25/04/05

Wilford House 10/08/04

Wilford House 27/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

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Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Wilford House 47 Rowley Bank Stafford Staffordshire ST17 9BA Lead Inspector Wendy Grainger Announced 17 August 2005 9:00 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 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. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wilford House Address 47 Rowley Bank Stafford Staffordshire ST17 9BA 01785 258495 01785 258493 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Stafford Eventide Home Limited Mrs Maureen Elizabeth Pownall CRH 31 Category(ies) of OP 31 registration, with number of places Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25 4 05 Brief Description of the Service: Located on the periphery of the town of Stafford. Wilford house is registered to offer care to thirty-one elderly persons.The home was opened in 1951, as a non-profit making business, where the older person can be cared for in a relaxed environment.The home was comfortable and well maintained. Each of the service users were provided with a single bedroom, to, which they can bring in personal possessions.The bathing and toilet facilities were located throughout the home and near to the bedroom and communal areas.A paved garden at the rear of the home provided a shaded place where service users can sit. The conservatory was recognised as the smoking area. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on the day of the 17 August 2005 by one inspector. Residents, staff and management were spoken with and assisted in the completion of the inspection. Documents, records and reports were made freely available during the inspection. The policies and procedures for the home were based on the National Minimum Standards. Ten comment cards had been completed by the residents. No resident had any additional comments to add to their satisfaction of the home and care they received. The Commission had received eight comment cards from relatives, three had no additional comment to make. Five relatives provided the Commission with additional comments namely: - “ always adequate staff on duty, but possible not in a crisis. I do appreciate more staff more fees. I am happy as it stands”, “ the staff at Wilford are exceptional with their attitudes and level of care towards the residents, even when they are short staffed they never drop the level of care. My mother feels very safe in her environment” , “ Wilford House is not just a house it is most certainly a very caring home. The home is kept meticulously clean and so is my mother. I appreciate all her personal care and that she feels special. There may not always be sufficient staff on duty due to sickness or holidays but residents are always 120 looked after.” “ Over the past few years I have visited several care homes and in my opinion Wilford House is the nicest, It is always clean always smells nice and the staff are always pleasant “, “ The home has a very friendly relaxed atmosphere and standards appear high. The staff are always pleasant and cheerful”. No resident including those in respite care would be admitted to the home without a full assessment of their personal health and physical abilities taking place. Arrangements were in place for the continued care arranged with the cooperation of other professional agencies. Each resident would have a plan of their daily needs and long term expectations, completed during the trial period following the confirmation of the assessment and admission. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 6 Residents were encouraged to be involved in the social life provided at the home. Residents were observed to go into the community during the inspection. One resident told the inspector “that it was better than winning the lottery living at Wilford” staff were praised for their care and attention. The residents were offered a choice at all meals on a daily basis, and at all meals. They welcomed the varied well balanced diets evidenced today from the menus. Comments from the residents spoken with were very complimentary about the catering staff and the food provided. Located on the periphery of the town of Stafford the home had a courtyard at the rear, transformed in the summer with large hanging baskets and borders of flowers. Residents have the option to sit on the many seats provided and enjoy the sun. The home was exceptional in its hygiene standards, well maintained in the fixtures and fittings around the home. The care manager recognised that certain areas were in need of redecoration; simply because of the time scale they were last decorated. The programme for decoration will be undertaken when the final rewiring and safety work has been completed. The staff during the inspection were observed to respect residents as individuals, assisting and explaining where necessary. The managers were part of the working team and were recognised by the residents and visitors. Following the inspection the inspector was informed that the two Criminal Records Bureau checks that were not available at the time of the inspection had been returned to the home. It is important that the home received the required checks and references prior to employment. The management as far as is practicable protect the resident’s health and safety at all times What the service does well: The management employ staff that were committed to the home and to the residents well being, health and personal care. Residents were provided with a homely environment where their personal choices of personal possessions in bedrooms were welcomed. Wilford House residents experienced a high standard of hygiene in all areas of the home. Linen was a credit and well presented in bedrooms and the dining room. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 7 Residents were recognised as individuals, and their daily routines were supported. A well balanced diet was prepared daily, residents were offered choice on a daily basis and at each meal. The care plans were well designed, available to any of the staff and residents at all times. 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. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 1 2 3 5 Standard six is relevant to this home The documentation provided any person requesting a placement with the full details of the homes facilities, aims and objectives. No person was admitted to the home unless a full assessment had been completed. The trial period would enable the person to make a decision to remain at the home. EVIDENCE: Assessment of residents’ health and personal needs continued prior to any admission to the home. The registered care manager and or her deputy would complete the informal assessment. All applicants for Wilford were offered an invitation to visit the home. A contract of the terms and condition of the home was provided for each placement. Following the admission to Wilford residents were made aware that they had a period of time to make up their minds to remain. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10,11 Each person’s daily health and personal needs were addressed via the extremely well designed care plans. Arrangements were in place for the continued health needs of residents from other professional agencies. The system for the administration and storage of medication was safe, and complied with the requirements of the National Minimum Standards. Staff were attentive to the needs of the residents each one appreciated the attention. Residents spoken with were very complimentary about all the staff who attend to their personal needs. All care would be provided when a person comes to the end of their life, Wilford House had a home for life philosophy. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 11 EVIDENCE: The care plans demonstrated the thought that had gone into their format. Plans were detailed, identifying the daily needs of individuals. Plans were evaluated monthly and concerns would be followed up by referrals to other professional agencies. At the time of this inspection no intervention was required from the District Nursing Service. Medication systems were based on the National Minimum Standards and the safe keeping and handling drugs. Records were current. The home was well supported by the pharmacy. All the staff during the inspection were observed/heard to be respectful with a warm manner of care and light banter. The staff addressed the daily needs of individuals. All care would be given at the end of a resident’s time of life. Relatives were welcome to spend as much time as required with their loved one. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 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 standard(s) 12 13 14 15 Residents experienced a life style to suit their daily and long term needs. The home gave out a pleasant, relaxed, and comfortable atmosphere. A selection of social opportunities were offered. Staff supported residents with activities of their choice EVIDENCE: The staff were the main people responsible for the daily stimulation of the residents. All that participated enjoyed the recent Bar B Que. The video sessions during the week included ice creams and chocolates. One resident had a collection of Daniel O’Donnell videos, which she loaned the home for other residents to enjoy. One of these videos had been played during the inspection. External entertainment was arranged on a regular basis. Visitors were welcome at any time, this was observed during the inspection when the staff warmly welcomed visitors. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 13 Evidenced during the inspection were staff asking residents their preference for tea, the main meal had been decided earlier in the morning. The menus provided for the Commission demonstrated that the residents were offered a balanced diet. Residents spoken with during the day were very complimentary about the food provided and the choice offered. The temperatures for the freezers, fridge, and foods were current and well maintained. The home had been undergoing an upgrade to the electrics; a section of the ceiling had been exposed and could have been a hazard when preparing food this section of the ceiling had had a temporary repair fitted. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 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 standard(s) 16 17 18 The home had a complaints procedure displayed within the entrance hall and with other required documentation. The information provided the appropriate information which any person with a concern could use. Staff training and information provided ensured that the residents were protected from abuse. EVIDENCE: There had been one internal complaint raised with the manager. The Chairperson of the homes Committee had addressed the issue within the relevant time. The Commission had not been involved and had not received any form of complaint. Individuals had taken the option to exercise their choice when voting. The manager completed the relevant information The manager, following a discussion and observation of the induction programme was to increase the section for recognising the different forms of elder abuse more fully. A synopsis of the types would be displayed in the staff room with the whistle blowing policy. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 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 standard(s) 19 20 21 23 24 25 26 Wilford House provided a comfortable homely environment with high standards of hygiene throughout. The personalising of personal space demonstrated that person choice was offered. EVIDENCE: Located on a public transport route, Wilford House had been registered to offer personal care for a number of years. The rear garden was paved and contained numerous colourful baskets and borders of flowers plus seating. The accommodation was single occupancy; the rooms were comfortable and personalised. Over the next twelve months the continued refurbishment of the bedroom furniture will be completed. Some bedrooms had been upgraded in a modern design. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 16 The inspector was impressed with the quality of the laundered linen used in the bedrooms and dining room. The home was exceptional in its hygiene throughout. The staff should be congratulated for the standards maintained. Equipment had been provided where necessary, staff had been trained to use equipment that assisted a resident’s comfort Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 The levels of the staff were deemed appropriate for the number and level of dependency of the residents. The staff training was demonstrated by the way in which the care of the residents was addressed. There was a requirement to ensure that all procedures when employing new staff were met to protect the safety of the residents. EVIDENCE: Wilford House had a Registered Care Manager supported by a Deputy. Staffing levels for the morning would be five staff addressing the needs of individuals. This level reduced by one for the afternoon and a further one for the night shift. At the time of the inspection there was one vacancy for a senior care staff. The registered care manager had recently conducted interviews for this post. On any one-day there were two catering persons and three domestic staff plus one laundry person. Mandatory training was on going; more was planned for this year. Staff confirmed that they had received training in the required elements. It was recommended that a more formal style of training be considered for Health & Safety and Infection Control; although the manager was planning to contact the Public Protection Agency for an in house talk. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 18 From the records provided it was identified that the last two people employed, one of whom was a cook had commenced employment prior to a current Criminal Records Bureau check being returned. The manager was unaware that the checks were not transferable and had applied as normal practice for checks. Since the inspection the manager has informed the inspector that both checks had been received and were satisfactory. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 33 34 36 37 38 The registered care manager ensured by policies, procedures and training that the residents were safe and secure at all times. The homes regular audit based on the professional system used highlighted any defects. Wilford House had good systems in place to protect the residents’ finances. Well organised systems for maintaining records and the environment were operational. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 20 EVIDENCE: The home operated for the benefit of the residents, the relaxed style was created by the management and followed by the staff. Management were part of the working team. The registered care manager continued with the Registered Managers Award. She had numerous training achievements to her credit. Her knowledge was updated on a regular basis with in house training. Records evidenced that the home maintained the required records for the tests and training in the event of a fire. A new residents call system had been installed in the conservatory. The residents used this area on a daily basis. Records evidenced that equipment was serviced as required. Staff confirmed that supervision sessions took place, the management told the inspector that the home also had annual appraisals. Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 4 4 3 4 STAFFING Standard No Score 27 4 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 4 3 3 3 3 3 Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 22 NA 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 29 Regulation Schedule 2 Requirement No person should be employed unless the required Criminal Records Bureau and POVA checks had been completed with satisfaction. To ensure proof of identity was maintained on the staff files Timescale for action on going 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 Good Practice Recommendations Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Wilford House E51 E09 s5036 Wilford House v240163 170805 Stage 4.doc Version 1.40 Page 24 - 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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