Inspection on 25/04/05 for Wilford House

This inspection was carried out on 25th April 2005.

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.

Other inspections for this house

Wilford House 03/07/08

Wilford House 06/08/07

Wilford House 26/07/06

Wilford House 17/08/05

Wilford House 10/08/04

Wilford House 27/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

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 Unannounced 25 April 2005 09:00 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 V221819 250405 Stage 4.doc Version 1.20 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 Ltd Mrs Maureen Pownall Care Home 31 31 Category(ies) of OP registration, with number of places Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: NA Date of last inspection 10 August 2005 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 older people 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 V221819 250405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 25th April 2005 by one inspector. The management, staff and the residents assisted throughout the visit. At the commencement of the inspection residents were finishing breakfast, no resident is rushed at Wilford house. The home has a relaxed atmosphere even around the breakfast time and during transfers to the lounges. The inspector sat with three residents in the dining room each, one had been at the home for various lengths of time each one was very complementary about all the aspects of their life style and routine at the home. Residents were aware that on the following day they would be able to attend the hairdresser. Residents felt safe and secure; they were satisfied and told the inspector that they could not have better care. All they had to do was to ask and that their problem would be sorted out. One resident explained that she wanted a little help on a daily basis this assistance was always available. The residents spoken with were very aware of whom to speak to in the event that they had a complaint. Catering needs were met with full time catering staff preparing fresh produce daily. Some residents requested a cooked breakfast. A well balanced nutritious diet was prepared by either of the cooks, special diets would be discussed and prepared as part of the care plan. The staff confirmed that they received training pertinent to their jobs, they were aware that mandatory training had been planned for later in the year. The staff were aware of the complaints process displayed in the hall. They were happy to be part of the team that provided quality care. Residents’ accommodation is located on two floors, the first floor being accessed via the shaft lift or stairs. The inspector observed high standards being maintained by the housekeeping staff. Bedrooms were personalised to suit individuals. There were plans as part of the ongoing refurbishment to replace bedroom furniture, pelmets, and fabrics. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 6 The Statement of Purpose and Service Users Guide were made available to other agencies, from these documents Social services can make a balanced choice for a placement. Each of the residents could access any specialist health care to meet their needs. The home operated in a relaxed manner, residents’ wishes were respected when being part of activities within the home. A fairly regular programme of entertainment from external people was arranged. The home had invested in a quality assurance programme, this and further documents combined, ensured that with the residents and relatives audits management provided a safe quality home. The staff on duty at the time of the Inspection demonstrated their skills, empathy and knowledge of the residents needs. They were competent and experienced to care for the residents. Eleven of the twenty one staff had NVQ II in Care a further four were doing level II one person is taking level III The appropriate recruitment procedures were operational, the Care Manager was aware of the need to obtain two references and a Criminal Records Bureau POVA checks prior to employment. The inspector saw evidence of this during the inspection. Records provided were current and well maintained. What the service does well: What has improved since the last inspection? A new dryer had been purchased for the laundry. Agreements were in place to commence the guarding of the radiator with covers. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 7 Extra ventilation had been created in the laundry. On-going decoration programme in place. The three phase electric wiring was completed. Croners system for policies and procedures purchased. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full 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 V221819 250405 Stage 4.doc Version 1.20 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 V221819 250405 Stage 4.doc Version 1.20 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, 3, 5, The detailed Statement of Purpose remained available to any person upon request. This document combined with the Service Users Guide would enable any person to make an informed choice for a placement. The management complied with the National Minimum Standards in respect of the admission process. EVIDENCE: Documentation was updated when necessary. The Statement of Purpose was evidenced available upon request. Each of the residents needs were assessed prior to admission. The person on respite stay who by word of mouth had heard about the quality and care at the home confirmed this. The management followed the policy and procedure for admissions to the home. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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, From the evidence provided it was obvious that management and the staff worked as a team to provide with consultation with other agencies the appropriate treatment of residents. Records identified that records were well maintained and current. EVIDENCE: Three of the care plans were evidenced during the day and cross referenced with the care provided. The care plans were exceptional in their lay out. Following a discussion it was agreed that the care manager would create a form to be placed at the rear of the modules to continue recording the monthly evaluations. It was suggested that any high risks identified could be cross referenced identified in the relevant part of the care plan. Bringing the risk to the front of the document. Observations made by the inspector were that general practitioners were requested and visited when necessary. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 11 Other professional agencies were available; only one resident was receiving treatment. The practice of medication administration was observed, this took place during breakfast and was completed by the care manager supported by a senior care assistant; who confirmed to the inspector later in the day that she had received training. Residents spoken with told the inspector that this was the best place to be in, you only have to ask the girls and they were there. The food was very good and they provided a choice. A number of thank you cards were observed following the care provided after a stay or following a death. The staff were observed during the inspection to assist, promote dignity and privacy at all times. The inspector further observed that no person was hurried in their daily routines. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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. A very relaxed environment would greet visitors to Wilford. House Residents spoke freely of the care they received. Individuals maintained contact with the community from personal choice. The home catering staff provided a balanced menu, food was well presented from the kitchen area, which was well equipped. EVIDENCE: Resident’s maintained contact with the Community, observation by the inspector evidenced two residents going to the town of Stafford for their personal needs. Promoting the flexibility of resident’s life styles. Visitors were aware that they had to confirm their visit. Religious needs were met in house on a regular basis. Activities did not take place daily, the residents appeared to prefer a relaxed quiet environment. External entertainment was arranged. Residents had the option to be part of the sessions. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 13 The home via discussions provided a well balanced diet, records evidenced that certain residents had chosen the sausage and onion alternative from the lamb casserole; followed by fruit salad. The menu of the day displayed in the dining room included the tea menu, which consisted of hash browns, fried egg, beans jam/salmon sandwiches, and cakes. The required temperatures were current; an occasional protein temperature was missing. The care manager will remind the catering staff. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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 18 The complaints process was displayed in the home, this procedure was part of the admission process and staff awareness. Staff confirmed that they received the appropriate training to protect residents and would implement the process of reporting concerns. EVIDENCE: Evidenced during the tour of the premises was the displayed complaint procedure. Staff confirmed that they were aware of the process. Residents told the inspector that they would speak to either of the management if they had any concerns. The commission had received no complaints. The care manager had forwarded a concern to the chairperson of the committee to investigate. This internal concern was not part of the Commissions remit at this time. The staff on duty confirmed training for the safeguarding of the residents. This was evidenced from the records provided. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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. Residents at Wilford were provided with a safe warm comfortable environment. The planned refurbishment of their personal bedrooms will further enhance their life style. Records evidenced that the staff had received the appropriate training to ensure that they were aware of the need to prevent any cross infection. EVIDENCE: The management continued with the rolling programme of refurbishment, thus providing the residents with a comfortable environment. Located on the edge of the town of Stafford residents were observed to independently access the town during the inspection. The paved garden at the rear of the home would provide shade and interest in the flowers. Bathing and toilet facilities complied with the numbers required. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 16 Personalised bedrooms were observed; there were major plans to refurbish these areas in the near future. The inspector observed well-pressed linen and bedding for the dining room and bedrooms. Work had been completed within the laundry to provide extra ventilation following the advice given by the Heath & Safety Executive. The home was exceptional in its hygiene, the staff responsible should be proud of the continually maintained standards. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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 staff during the inspection were observed in their role of carers. They demonstrated their competency to meet the needs of the residents. The home had robust policies and procedures for the recruitment of staff, with the appropriate checks and references being obtained prior to employment commencing. Observation of the records evidenced that the home had a commitment to continued training. EVIDENCE: At the time of this visit there were twenty nine residents at Wilford House; including the management there were five care staff on duty this morning, supported by housekeeping, catering and laundry staff. This staffing figure reduced by one care staff for the afternoon. Catering staff continued duty until after tea had been served. Three staff including one recognised senior care would cover night staffing There were two vacancies for staff including one night carer. The recruitment process for the home protected the residents. The correct procedures were followed prior to employment; this was evidenced from the staff records provided. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 18 Eleven of the twenty-one staff have obtained level II NVQ in Care a further four staff were doing the course. One person was taking level III. The majority of the staff had taken First Aid training. Update for this qualification where necessary was due in 2006. Other mandatory training was on course for 2005. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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) 31,33,36,37,38 The management and the staff ensured that as far as was practicable the safety of the residents. Staff benefit from the style of the care managers management skills. Appropriate supervision was in place; this is to be further expanded with an alternative method for recording. Residents lived in a relaxed atmosphere, supported by the staff that via the positive training programme provided quality care. The management had an open door policy; members of the staff confirmed this. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 20 EVIDENCE: The Care Manager had almost completed the Registered Care Managers Award. There is a possibility that she will undertake the qualification for training others in Moving & Handling. Mrs Pownall demonstrates through example her competency to operate the home for the benefit of the residents. An investment in a professional quality assurance system had been purchased. Annual surveys were provided for the residents. The risk assessment of the home was due to be updated in May 2005. The required supervision continued, within the new quality system were guidelines for appraisals and supervision. Mrs Pownall will dissect the documents to make them user friendly for the home and staff. Records were maintained to comply with the National Minimum Standards. The management ensured that as far as reasonably possible the health, safety, and welfare of residents and staff were protected. Staff had completed a course for Infection Control. A DVD for Food & Hygiene had been purchased and shown to the staff. The staff at various times had been involved in fire safety training and drills throughout 2004 and recently in 2005. Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 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 3 3 3 x 3 4 3 4 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 x 3 x x 3 3 3 Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 Page 22 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Wilford House E51 E09 S5036 Wilford House V221819 250405 Stage 4.doc Version 1.20 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. 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