Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/12/05 for Wilfred Geere House

Also see our care home review for Wilfred Geere House for more information

This inspection was carried out on 13th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

This is a care home where residents are well looked after. The staff team work well together and show a good understanding of the needs of the people living at the home. Care documentation was well written and very comprehensive. A number of the residents spoken to have lived in the home for many years and they said that they would not want to live anywhere else .One resident said that their relative had chosen the home for them and the resident felt that " it is lovely and the staff are excellent". The assessment and ongoing review of care is thorough, which makes sure that the residents` care needs are being met. The care plans are well written and contain details of any specific intervention required. All care plans are reviewed monthly or more frequently if there are changes to the needs of the residents. The staff team are well trained and confirmed that they are supported by the management and felt valued.

What has improved since the last inspection?

All of the requirements made at the last inspection have been met and further progress has been made in relation to record keeping. The home is in the final stages of a complete refurbishment; those areas that have been completed have been upgraded in a homely and tasteful way.

What the care home could do better:

The care documentation did not show that residents or their representatives had been involved in the development or reviews. The manager was aware of this and was taking steps to address the problem. Recommendations have been made to improve the record keeping in relation to care documents and hand written medication records.

CARE HOMES FOR OLDER PEOPLE Wilfred Geere House 310 Highfield Road Farnworth Bolton Lancashire BL4 0DG Lead Inspector Bernard Tracey Unannounced Inspection 13th December 2005 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 Wilfred Geere House DS0000031381.V274003.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. Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wilfred Geere House Address 310 Highfield Road Farnworth Bolton Lancashire BL4 0DG 01204 337839 01204 337845 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) Bolton Metropolitan Borough Council Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 27 service users to include:up to 27 service users in the category of DE(E) (Adults with Dementia over 65 years of age) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 15th March 2005 Date of last inspection Brief Description of the Service: Wilfred Geere House is owned by Bolton Metropolitan Social Services Department and registered with the Commission for Social Care Inspection to provide personal care and accommodation for 27 people, with Dementia. The home is located in a residential area of Farnworth. T here are pleasant accessible garden areas to the rear of the home. Personal accommodation offered is single occupancy. The home is presently undergoing a major refurbishment. There is a bus stop near the home, on route to the town centre, as well as easy access to the motorway network. Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4.5 hours. During this time the inspector talked with the manager about outstanding issues from the last inspection and how much progress had been made in addressing these. Further time was spent looking at written information and records relating to residents and staff employed in the home. The Inspector talked to the people who live at the home, a visiting nurse and the staff on duty. Observations were made of the care provided and some residents talked about their personal experiences of life for them in the home. What the service does well: What has improved since the last inspection? All of the requirements made at the last inspection have been met and further progress has been made in relation to record keeping. The home is in the final stages of a complete refurbishment; those areas that have been completed have been upgraded in a homely and tasteful way. Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 6 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. Wilfred Geere House DS0000031381.V274003.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 Wilfred Geere House DS0000031381.V274003.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): 3.5. Standard 6 does not apply to this home. Assessment of individual need is made before each resident moves into the home to ensure that the home can provide the care needed by the individual EVIDENCE: Further progress has been made with developing the Statement of Purpose and the Service User’s Guide to ensure that residents and their relatives are provided with accurate and up to date information concerning the facilities offered at the home. The records of three residents were examined and were found to contain detailed assessment information that had been obtained prior to admission, therefore ensuring that the home could meet these needs. There is a very good system operating for prospective residents to be introduced to the residents, facilities and staff members through regular visits leading to over night stays prior to a decision being made to move into the home on a permanent basis. On the day of the inspection one prospective Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 9 resident arrived with her social worker to have lunch and spend the remainder of the afternoon at the home. Some residents were able to confirm that they had been involved in their assessment and were happy that their needs were being met by the home. The staff spoken to were well aware of the care needs of the individual residents and this was confirmed during the inspection through observations of the care practices being carried out. Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 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 Resident’s welfare is closely monitored and health needs were met. The home is not consistently good at involving residents or their representative in the development or review of care plans. Staff awareness regarding privacy, choice and dignity had a positive impact on the lives of residents. EVIDENCE: Individual records are kept for each resident and contain comprehensive information relating to all aspects of health, personal and social care needs of the residents. From this information gathered, an individual plan of care is drawn up. Significant events had been recorded and daily entries made setting out the care given: it is recommended that these entries are timed as well as dated in line with good practice guidelines The records of three residents were looked at in detail and these clearly described the healthcare needs of the residents. Evidence was seen of the monthly reviews carried out to ensure that the care plans continue to meet Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 11 individual needs. There was clear evidence of the involvement of the Mental Health services in the planning and review of individual care. Not all care plans provided written evidence of residents or their representatives being involved in the drawing up and review of individual care plans. Risk assessments were in place and covered such areas as moving and handling, nutrition, pressure care, the use of bed rails and falls. The residents were weighed at least on a monthly basis and the weight recorded on a chart kept in their care plan. A discussion with the residents identified that they had access to other health care professionals, such as dentists, opticians, chiropodists and district nurses. Evidence of these visits was kept in the residents’ individual files. A discussion with a visiting District Nurse identified that the home informed the nurse of any changes to the resident’s condition in a timely fashion and carried out care instructions appropriately. Medical examination and personal treatment is provided in the privacy of the resident’s own room. The medications system was safe. Medications were securely stored; the prescription administration sheets were filled in accurately and there was an accurate record of medicines received into the home and returned back to the pharmacist. Designated and appropriately trained staff administered medicines. It is recommended that when it is necessary to hand transcribe prescriptions on to the medicine administration sheet, the entry is checked and signed by two members of staff to avoid errors. All members of staff receive instruction and training in preserving the privacy and dignity of service users on induction, and a signed form indicates acceptance that the training has been given and received during the induction process. Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 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): The key standards were not assessed on this occasion. EVIDENCE: The key standards will be assessed at the next inspection. Wilfred Geere House DS0000031381.V274003.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): 16 18 There is evidence to show that residents and relatives were able to make their concerns known and they would be acted upon. Staff had a good knowledge and understanding of adult protection procedures thereby reducing the possible risk of harm or abuse to residents. EVIDENCE: The home has written policies on Adult Protection and Whistle blowing, which staff were aware of. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with care staff and management identified that there were very aware of the procedure to follow in the event of any allegation of abuse. All members of staff had undertaken training in the protection of vulnerable adults. The home has a detailed complaints procedure, which is made available to all residents on admission to the home. Residents spoken to said they would be happy to tell the staff if they were concerned about anything in the home and felt this would be listened to and acted upon. There have been no complaints received since the previous inspection. Wilfred Geere House DS0000031381.V274003.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): None of the key standards were assessed EVIDENCE: The home was in the final stages of a complete refurbishment programme. The key standards will be assessed at the next inspection when the work will have been completed. Wilfred Geere House DS0000031381.V274003.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 8 29 30 Staff are well trained to ensure they have the competencies to meet residents needs. The deployment of staff throughout the day is sufficient to meet the needs of residents. The homes recruitment procedures are robust and these provide safeguards for the protection of residents. EVIDENCE: The Inspector examined three staff files and found that they contained all the information required, confirming that the recruitment procedures had been followed. The Inspector examined the rota and found that the staffing levels were sufficient for the number of residents in the home and to meet their needs. Training is very high on the agenda and comprehensive records of the training undertaken by staff are kept. Staff spoken to, informed the Inspector of the training that they had done. They stated that they are encouraged to attend courses and given the time and support to do this. Staff spoken to said that they were clear about their role and work well as a team to ensure the individual and collective needs of the residents are met. Wilfred Geere House DS0000031381.V274003.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): The key standards were not assessed on this occasion. EVIDENCE: The key standards will be assessed at the next inspection. Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 17 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 3 X 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement The registered person must ensure residents or their representative are involved in the development review and of the plan of care. Timescale for action 30/01/06 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. 2. Refer to Standard OP9 OP7 Good Practice Recommendations Hand transcribed medication should be witnessed by two staff members to avoid errors. Daily progress notes should be timed as well as dated. Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Wilfred Geere House DS0000031381.V274003.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!