Inspection on 26/07/06 for Wilford House

This inspection was carried out on 26th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 17/08/05

Wilford House 25/04/05

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 Mrs Wendy Grainger Key Unannounced Inspection 26 July 2006 9:00 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 Wilford House DS0000005036.V303703.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. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wilford House Address 47 Rowley Bank Stafford Staffordshire ST17 9BA 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) 01785 258495 F/P 01785 258493 Stafford Eventide Home Limited Mrs Maureen Elizabeth Pownall Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th 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 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. From the information contained in the pre inspection questionnaire the weekly fees were £381.50 for permanent care and for respite care £413. Any additional costs would be for hairdressing (male & female) varies, private chiropody £12, personal newspapers, toiletries, public transport. Wilford House DS0000005036.V303703.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 completed on the 26 July 2006 with the care manager and her deputy. The pre inspection questionnaire has provided detailed relevant information to add to the comments received from the residents, records and reports which were incorporated. The commission has received ten comment cards from relatives eight of them made very complimentary comments regarding the home, staff, care provided and food served. A tour of the home, discussions with the staff, residents and management were all included as part of the inspection. What the service does well: Comments were received from professional agencies and relatives. ”Wilford house is the best” ” my mother tells us that she is happy, the staff are very kind and gentle, the care she receives is 100 .” “the care my mother receives is excellent. The matron always has a smile and a warm welcome which reflects in her staff” “ I find the staff very caring and nothing seems to be to much trouble for them” “we are grateful that we managed to get mum into Wilford. The care here has been far better and knowledgeable than we could give her” “on behalf on my mother I feel all her needs are met and that she is content at Wilford with lovely caring staff” “Excellent caring staff who treat their residents with respect, food is also excellent & furnishings and rooms homely. There is a happy atmosphere” “ The care my mother receives at Wilford house is excellent and they have given me a lot of support. She is looked after with love and dignity” “the management and senior care “have their finger on the pulse” excellent care given with awareness of each individuals appropriate requests, good monitoring of treatment and advice. The staff work as a team to provided a comfortable homely environment for the residents. A high standard of hygiene was observed throughout the home. Staff addressed the needs of individual residents with sensitivity and empathy. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 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. Wilford House DS0000005036.V303703.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 Wilford House DS0000005036.V303703.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 4 The quality in this outcome is good. This judgement has been made using available evidence including checking out with the manager the contents of the Statement of Purpose. The Statement following a recent amendment provides accurate information to any person making a placement. No person is admitted to the home without a full assessment of their social and health needs. EVIDENCE: The manager told the inspector that the Statement of Purpose had recently been amended to include the new staff members. Each of the residents continued to be provided with the service users guide. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 9 Admissions following an assessment of personal and social needs continued. No person would be admitted and this included a respite person without a full assessment of their needs. The manager would confirm the placement in writing. The prospective person would be invited to come to the home for lunch, some of the previous admissions have been by word of mouth. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9,10 Quality in this outcome is excellent. This judgement has been made using available evidence including observing the staff on duty, reading reports and records. Arrangements were in place for the continued health care of the residents. Personal well-designed care plans contained detailed information that reflected the care/support required. The staff on duty were sensitive to the needs of the residents. Their continued training ensured that the residents were cared for with experience and understanding. The system used for the medication process was identified to be safe. Further planned training will reinforce the process. EVIDENCE: A sample of four care plans were evidenced and residents spoken with. One person had only been at the home for a short time, she confirmed that the Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 11 staff and district nurse met her health and personal needs. These comments confirmed the written care plan. A second care plan reflected the changes in the health and personal needs; the recorded evidence supported the changes. One resident had been at the home for some months, she told the inspector that she was going home to be with her husband, and could not praise the staff highly enough for their support and care that had enabled her to progress so much. Arrangements were in place for the continued care from other outside agencies; this was evidenced during the inspection. The medication system remains satisfactory, secured in a room the staff had received training for the safe keeping and handling of medicines. There was limited stock maintained. The room was ventilated and at a constant temperature. Further medication training was planned to further individual staff knowledge. The pleasant staff team on duty were very aware of the personal diverse and health needs of individuals. They were observed to address the needs of the residents with sensitivity and empathy while having a pleasing approach. Residents spoken with confirmed that the staff were always available to help them. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 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 the following standard(s): 12 14 15 Quality in this outcome was good. This judgement has been made using available evidence including the programme for the social life and menus available to the residents. Residents were offered a well balanced menu on a daily basis. The social life for the home was varied, there would be something for each resident. Staff supported residents to pursue their personal interests. A relaxed atmosphere was created by the management and cascaded to the residents by the staff. EVIDENCE: For the first time in ten years the home was to have a Fete this was one of the topics residents spoke to the inspector about. They were looking forward to the event on the following Saturday. External entertainment was provided on a regular basis this included songs from the past. A regular favourite activity was the video afternoons, and tapes of Daniel O’Donnell. Residents self esteem was promoted with hairdressing on a weekly Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 13 basis. The staff recognise that not all the residents had long concentration skills, these residents would be supported during any games and exercises they were part of the home and not excluded. Wilford House chose not to have a registration for dementia. During the inspection the staff welcomed and interacted with visitors who appeared to come in a steady stream throughout the day. The menus were varied and offered a selection of main meals and alternatives. Comments from the residents were that the food was “very good “we have choice and plenty on the plate” during the hot weather menus had been adjusted. Two residents were assisted when dining this was completed in a sensitive manner by the staff. The required food, fridge and freezer temperatures were current. There had been a problem with the freezer but this had been addressed. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 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 the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including observations of the complaints process, speaking to residents and staff. The homes complaints procedure would facilitate a complaint to be raised via the Commission for Social Care Inspection or the management of the home. It was available to residents and relatives. Records evidenced that via the staff training residents were protected from abuse. EVIDENCE: The manager had not received a complaint since the last inspection period and she was aware of the need to maintain records and outcomes of any complaint. The Commission had not dealt with a complaint about the home or any part of the care provided. The homes complaint process was displayed and contained in the relevant documents available to residents and families. Residents confirmed that they were aware that they could speak to the staff if they had any concerns. From the induction, NVQ records staffs were aware of the need to monitor for any signs of abuse. They confirmed that they had received training to recognise abuse and would follow the process if necessary. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 15 Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 16 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): 19,20,21,23,24,25,26 Quality in this outcome area is excellent. This judgement had been made using available evidence including a tour of the home speaking to residents and observing work in progress. Residents live in a well maintained environment, comfortable communal areas and very high standards throughout the home. EVIDENCE: Located near to the town of Stafford Wilford stands in its own grounds, there is a contained colourful garden at the rear, which residents can access. Residents were encouraged to bring in personal possessions, and this was evidenced during the tour of the home. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 17 The staff should be congratulated for the continued high standards throughout the home. The first floor corridor was in the process of being decorated. Three bedrooms had been decorated and more were planned. Major work on the water system had been completed. The management will now ensure the final radiators were covered. There were plans to have the home re-wired totally. This will incur some redecoration. There were plans from fund raising to exchange the blinds in the conservatory. The inspector was pleased with the home in its entirety, residents were provided with a comfortable environment Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Quality in this outcome area was good. This judgement was made using available evidence including speaking to staff and checking records. Staff training was continuous; further ensuring that competent experienced staff cared for residents. The level of staff on duty at any one time was deemed appropriate to meet the needs of the residents The procedures for the employment of new staff were satisfactory. EVIDENCE: Management were part of the working team, they ensured that the numbers of staff were consistent to meet the daily needs of the residents. Staffing levels reduced from five carers plus management in the morning, for the following shifts during the day and night. Three of the staff had left employment and; they had been replaced. The required checks and documents for employment were seen and found to be satisfactory. On going training for 2006 continued some had been arranged. First aid planned for August, enhanced mediation training planned, infection control completed with the Public Protection Agency, planned for September Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 19 was personal care and wound care; plus awareness of care for people with dementia, although the home does not have a registered category for this resident group. The manager was in the process of arranging training for the use of fire extinguishers. NVQ in Care was on going with five staff involved and a possibility of the new staff enrolling in September 06. There was a good system for the training of the staff who confirmed to the inspector that they were receptive and welcomed training. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 20 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): 31,33,36,38 Quality in this outcome area is good. This judgement was made using available evidence including speaking with the staff viewing records and speaking to residents. Wilford House had systems and reports in place to support and protect the resident’s life style. The manager reviewed the policies and systems ensuring that they complied with the National Minimum Standards. EVIDENCE: Staff spoken with confirmed that supervision took place and that the manager had an open door policy if necessary. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 21 The registered manager continued with the Registered Managers Award. There were a number of “thank you “ cards and letters available. There was a recommendation to further develop this survey in house to obtain feedback form relatives and other professional i.e stakeholders. The home was operated to the benefit of the residents, this was made obvious during the inspection when the staff recognised that this was the person’s home by their actions and the manner in which they addressed the residents. Records for the protection of the residents in the event of a fire were current and accurate. The pending new legislation was discussed with the managers, who will develop documents for the assessment. Residents spoken with were complimentary about the life they can experience at Wilford. Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 22 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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 4 4 4 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 4 4 3 X X 3 3 3 Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 23 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. 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 OP33 Good Practice Recommendations To further develop surveys for the feedback from relatives and other professional agencies Wilford House DS0000005036.V303703.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office 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 DS0000005036.V303703.R01.S.doc Version 5.2 Page 25 - 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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