Inspection on 18/08/05 for Willan House

This inspection was carried out on 18th August 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

Willan House 23/06/08

Willan House 21/05/07

Willan House 09/01/07

Willan House 03/10/06

Willan House 18/04/05

Willan House 08/11/04

Willan House 23/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Willan House Willan House Stainfield Lincs LN8 5JL Lead Inspector Sue Daniells Wendy Taylor Unannounced 18 August 2005 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. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Willan House Address Willan House Stainfield Lincs LN8 5JL 01526 398785 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) Mr J Shiers Mr J Shiers Care Home only (PC) 16 Category(ies) of Dementia - Over 65 years of age (DE(E)) - 6 registration, with number Old Age, not falling within any other category of places (OP) - 10 Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2005 Brief Description of the Service: Willan House cares for older people in a non-smoking environment in a detached property situated in the small village of Stainfield. The home is approximately four miles from the small town of Wragby and ten miles from the historic city of Lincoln. The home stands in its own grounds and gardens with car parking facilities to the front. The home has two floors and there is a stair lift to the bedrooms on the first floor. There is a variety of aids and adaptations around the building to allow residents to move round the home more independently. Twelve of the bedrooms are single, two of them have an en-suite toilet. There are five communal toilets and two communal bathrooms. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours and was the second of two statutory inspections for the year 2005/2006. Three residents were “case tracked” – a system which looks at the needs of the resident and follows this through by talking to the residents concerned and the staff who deliver the care, as well as observation of care practices. Two members of staff were spoken to and the owners. A sample of regulatory records and policies and procedures were seen and a tour of the premises took place. What the service does well: What has improved since the last inspection? What they could do better: The fire risk assessment of the building should be more comprehensive in its content, used as a working document and reviewed on a regular basis. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 6 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. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 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 standard(s) Key standards for this section were inspected in April 2005. EVIDENCE: Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 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 standard(s) Key standards for this section were inspected in April 2005. EVIDENCE: Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 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 standard(s) 12 and 14 Service users are offered choice and control over all aspects of their lives and are provided with a variety of activities, which they can participate in if they wish to. EVIDENCE: One service user stated that they didn’t think that they could do what they wanted to whilst others knew that they could do as they wished and felt that they had choices about every aspect of their lives including where they had their meals, what time they rose in the mornings and what time they went to bed. One of the service users listed the sort of entertainments that are offered in the home; these included sing-a-longs, professional entertainers and indoor games. Inspectors were also informed that the residents had been taken on an outing to Skegness in recent times and they had enjoyed a picnic. A local vicar visits the home every month and a service user stated that that they enjoyed the service very much. On the day of the visit the inspectors were able to watch some of the service users enjoying a session of “hand-ball” with a large balloon, which they were enjoying. Chair exercises are planned for the future. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 11 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) Key standards for this section were inspected in April 2005. EVIDENCE: Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 12 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 and 26 Service users live in safe, clean and pleasant surroundings, with staff understanding the need for infection control. EVIDENCE: Since the last inspection, some bedrooms have been upgraded with decoration and new furniture. The owners stated that they had prioritised this and would eventually upgrade every area of the home. Three bedrooms were observed and these were very personalised by the service users with pictures, ornaments and memorabilia. One service user commented that since the owners had bought the home they had been very busy and they had updated the plumbing and changed some toilets. They thought that their room would be on the list for upgrading soon. Observation of the home evidenced that all areas were free of obvious hazards and the home was well maintained with no malodours present. Staff on duty had received training on infection control. One service user stated that their clothes are laundered on a regular basis and that “they always come back clean” Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 13 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, 29 and 30 Staffing levels are appropriate for the current needs of service users. The home has a thorough recruitment process, which protects service users and staff have the knowledge and competencies to care for them. EVIDENCE: All service users spoken to stated that they felt the staff met their needs and that they knew all about them as individuals and therefore knew what to do. Staff stated that the owners did “on-call” and were “always happy to help” if they needed them. Furthermore, that all staff worked as a team and that there was excellent communication between individual staff members. The owners employ separate cleaners and catering staff and will stand in and undertake any task when necessary. The staff knew the service users extremely well, understanding their individual needs and how to manage them. On the night of the inspection, one owner was going to be on duty in the home with the other being on-call in the adjoining house and available if necessary. Service users appeared relaxed and happy during the inspection and were being appropriately cared for by the staff on duty. The recruitment records of two staff were examined and showed that all the information was present to evidence a thorough recruitment process in order Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 14 to protect the service users. Recruitment policies and procedures were in place. Training records for staff indicated that courses had included abuse awareness, fire lectures, health and safety, basic food hygiene and information regarding Alzheimer’s: the last of which staff had found to be very useful. A staff training plan for the year is held on file at the Commission’s area office. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 15 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) 33, 35 and 38 The home is run in the best interests of the service users and their financial interests are safeguarded. Service users and staffs’ health, safety and welfare are protected by the policies, procedures and practices of the home. EVIDENCE: One service user stated that the owners hold residents meetings once every three months in the main lounge and one of the carers takes the minutes so that everyone knows what’s been said. Relatives can also attend these meetings. The service user stated that they had never had any need to complain about anything, they said that the owners would “do something” if someone had a problem. Staff stated that they could approach the owners, say what they thought and get a favourable response. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 16 Staff also spoke of the fact that the home is run “for the residents” The owners stated that they do not keep money for any resident; the families concerned handle this. One service user stated that the owners would look after their money if you wanted them too as well as any valuables. They would put it into the safe and give you a receipt for it. Policies and procedures were seen for infection control, food hygiene, and fire. Other documents examined included the servicing of the stair-lift and bath hoist. A reputable company disposes of clinical waste. A risk assessment has been undertaken for a service user using an electric wheelchair. The home’s fire risk assessment was not available during the inspection and was faxed to the inspectors following the visit. This was seen to be fairly brief and it has been recommended that this is more comprehensive in content and that it is used as a working document and reviewed on a regular basis. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x 3 Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 18 No 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 38 Good Practice Recommendations As good practice, it is recommended that the fire risk assessment for the building is more comprehensive in content, used as a working document and reviewed on a regular basis. Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road off Whisby Road Lincoln LN6 3QN 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 Willan House C53 C04 S59327 Willan House V245637 180805 Stage 4.doc Version 1.40 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. 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