Inspection on 02/03/06 for Wilfred Geere House

This inspection was carried out on 2nd March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

Other inspections for this house

Wilfred Geere House 15/11/06

Wilfred Geere House 13/12/05

Wilfred Geere House 15/03/05

Wilfred Geere House 31/08/04

Wilfred Geere House 04/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Wilfred Geere House 310 Highfield Road Farnworth Bolton Lancashire BL4 0DG Lead Inspector Bernard Tracey Unannounced Inspection 2nd March 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wilfred Geere House DS0000031381.V268823.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.V268823.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.V268823.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. 13th December 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. There 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.V268823.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 3.5 hours. During this time the inspector talked with the acting manager about outstanding issues from the last inspection and how much progress had been made in addressing these. The inspector looked around the building to assess the progress of the refurbishment of the home and looked at a number of records. Four of the residents, three care assistants, the cooks, and a care manager were spoken with. Observations were made of the care provided and some residents talked about their personal experiences of life for them in the home. The Inspector did not examine all of the Standards on this occasion. Consequently, the reader is asked to look at the previous Inspection Report to get a full picture of how the home is performing. What the service does well: What has improved since the last inspection? 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.V268823.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.V268823.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.V268823.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): The key standards were examined at the last inspection 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: The key standards were examined at the last inspection on the 13th December 2005. All of the key standards were met. Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The home is not consistently good at involving residents or their representative in the development or review of care plans. EVIDENCE: The recently reviewed records of two 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 individual needs. Not all care plans provided written evidence of residents or their representatives being involved in the drawing up and review of individual care plans. it is recommended daily progress notes are timed as well as dated in line with good practice guidelines Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Provision of social activities should be further developed to ensure they meet each residents’ needs. Contact with family, friends and community was maintained ensuring residents did not become isolated. A nutritious, varied and balanced diet was provided and enjoyed by residents. EVIDENCE: Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 11 The home is in the final stages of major refurbishment and on the day of the inspection the dining room was out of commission due to redecoration and renewal of the floor covering. This meant that space was limited as two lounges were having to be used as a dining facility. Although this was having an impact on the available space for residents, none were experiencing too much inconvenience. It was apparent from discussion with the residents, staff members and the Inspectors’ own observations that there is not an adequate activity programme to meet the needs of the resident group, either individually or collectively. The activity programme, referred to in the homes’ statement of purpose, was displayed in the corridor, near to the dining room, but in discussion with residents bore little relation to activities in the home. There is a programme for visiting entertainers who come to the home once a month but apart from this there appeared to be little structured activity for the residents, with the main entertainment being the television, which is constantly in use, as described by a resident. A previous inspection report has referred to the need for a more structured activity, with staff available for one to one activities to take place. Written information about appropriate activities for people with dementia should be made available and be given to care staff who facilitate activities. Activities were not recorded on residents’ files and there was little evidence to indicate that staff were working with residents on both a group and individual basis Records of food provided to residents confirmed that all receive a varied and nutritious diet. The meals were usually taken in the main dining room; staff then served individual residents at their table. The inspector-spent time talking with the two chefs who clearly demonstrated that they were aware of the appetites and preferences of each person and spoke of the need to present the meals in an appetizing manner. There was a choice of main courses and the chefs confirmed that further choices were available from the kitchen. Residents said that they “really liked the food”. Snacks, such as toast or cheese and biscuits are available for staff to access during the period when the main kitchen is closed Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 12 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): The key standards were examined at the last inspection 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 key standards were examined at the last inspection on the 13th December 2005. All of the key standards were met. Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 13 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 26 Following a major refurbishment the standard of furnishing and fittings within the home was good providing a homely, safe, well adapted, clean and comfortable environment for residents. EVIDENCE: As previously stated the home is in the final stages of a major refurbishment programme. A tour of the home found that all of the bedrooms on the first floor had been very tastefully decorated and fitted with new carpets and bedroom furniture. There was some decorating of the main corridors and stairs still to be completed but at the time of the inspection the contractor was attending to these areas. On the ground floor the dining room had been decorated and was in the process of having a new floor laid and was therefore out of commission for a short period. Further decoration of the lounges and corridors is also in progress and it is envisaged that the whole of the refurbishment will be completed by the end of March. Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 14 Residents spoken with said they were very pleased with the way their room had been decorated and liked the new furniture that had been supplied. The home is clean and free of unpleasant odours, making it a pleasant environment for residents and their visitors. There are landscaped gardens which are accessible and secure and these provide residents with safe areas in which to walk or sit. In partnership with Farnworth Inclusion Group the home was to have the front area of the home landscaped and planted with shrubs and flowers the day following this inspection. Wilfred Geere House DS0000031381.V268823.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): The key standards were examined at the last inspection. 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 key standards were examined at the last inspection on the 13th December 2005. All of the key standards were met. Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 The home was well managed and run in the best interests of residents by a temporary manager who since her appointment had demonstrated a clear sense of direction and leadership. The health, safety and welfare of residents is promoted through safe working practices and the training of staff. EVIDENCE: Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 17 The homes current acting manager has over 10 years experience with Bolton Metro Social Services Department in the provision of services to older people. She has 7 years experience in a supervisory and managerial position and holds qualifications in respect of D32/33 NVQ assessor, a management qualification and has been in her temporary post at Wilfred Geere since December 2004. The manager informed the inspector that she had completed her registered managers award and her NVQ level 4-care award. An appointment of a permanent manager has now been made and the new manager was take up his position the Monday following this inspection. The personal finances of residents are not dealt with by the home. These are managed by the finance department which is audited independently. Maintenance and safety checks are managed by the Corporate Property Services of Bolton Metropolitan Borough. Evidence was seen that indicated that fire extinguishers, alarms, lifts and hoists are all serviced and maintained as required. The Portable Appliance Test had been undertaken on 20th February 2006. The 5 yearly periodic Electrical check on fixed installations is now overdue. Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 19 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 and review of the plan of care. (Outstanding requirement within the timescale of 30th January 2006) Following consultation with residents, a programme of activities must be arranged. The fixed electrical systems and electrical equipment 5 yearly inspection is now overdue. Timescale for action 30/04/06 2. OP12 16 30/04/06 3. OP38 16 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000031381.V268823.R01.S.doc Version 5.1 Page 20 Wilfred Geere House 1. Standard OP7 Daily progress notes should be timed as well as dated. Wilfred Geere House DS0000031381.V268823.R01.S.doc Version 5.1 Page 21 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.V268823.R01.S.doc Version 5.1 Page 22 - 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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