Inspection on 15/02/06 for Willow Gardens Care Home

This inspection was carried out on 15th February 2006.

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

Willow Gardens Care Home 28/08/08

Willow Gardens Care Home 30/11/07

Willow Gardens Care Home 30/08/06

Willow Gardens Care Home 21/04/05

Willow Gardens Care Home 29/11/04

Willow Gardens Care Home 02/06/04

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 Willow Gardens Care Home St Edmonds Road Bootle Liverpool Merseyside L20 7AJ Lead Inspector Mrs Julie Garrity Unannounced Inspection 15th February 2006 10:40 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 Willow Gardens Care Home DS0000059852.V283559.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. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Willow Gardens Care Home Address St Edmonds Road Bootle Liverpool Merseyside L20 7AJ 0151 922 4324 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) European Wellcare Homes Ltd Mrs Elizabeth Mumford Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (12) of places Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Sliding scale of staff agreed by the CSCI to be adhered to at all times, as agreed on 2/2/04. 2 named female out of category service users, under pensionable age. The variation applies to the named service users only, should they leave the Home then the variation will cease to apply. Not accommodated in Willow View Unit. The service should employ a suitably qualified and experienced Manager who is registered with the CSCI. The age range between service users in the Willow View Unit should be no more than 25 years at any one time. Three places within Willow View Unit for service users between the ages of 18 and 64 years. Service users to include up to 36 OP N Up to 10 PD N accommodated within the unit known as Willow View. Bedroom number 24 to accommodate one named PD service user to be reviewed on the 01/06/06 21/04/05 3. 4. 5. 6. 7. 8. Date of last inspection Brief Description of the Service: Willow Gardens is situated in Bootle area of Liverpool. It provides care to 36 older persons and 10 younger disabled adults (known as Willow View). The home is a purpose built care home, which provides nursing care. Willow Gardens is built on 2 floors. There are two Lounges a large lounge on the ground floor and a smaller lounge on the first floor with a separate smoking area. Dining facilities are provided in two separate areas. All rooms are single rooms with 14 rooms providing en-suite facilities and 32 rooms without en-suite facilities. Willow Gardens has gardens to the rear and sides of the home that provide space for service users to sit outside in good weather. The gardens are easily accessible from the large ground floor lounge. The home is privately owned and the company has a variety of other homes within the UK. They provide care for a number of residents with a wide range of differing needs. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 5 There is a shopping centre near to the home and public transport system within easy access. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection undertaken by on inspector over a day. The total duration of the inspection was 6 hours. CSCI inspects “core” standards over 2 inspections. The core standards not covered in this report were covered in the previous report undertaken on 21/04/05. The inspector undertook this inspection by reviewing on-site records such as care plans, resident’s finances, daily records, staffing rotas, staff training and staff recruitment records. Other records reviewed were previous reports and CSCI records such as notifiable incidents and provider visit reports. Discussions were held with 10 residents, 2 relatives and 6 staff. The inspection was undertaken with the support of the manager and all areas were discussed with the manager as they occurred. Full feedback was given to the manager at the end of the inspection. All requirements from the previous report were addressed and one requirement was made in this report. None of the good practice recommendations had been utilised. What the service does well: What has improved since the last inspection? Medication records were clear and reflected that residents were receiving their medications in accordance with the GP’s prescription. Arrangements for fire prevention have continued to improve and resident’s health and safety needs are treated as important and managed appropriately. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 7 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. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 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 the following standard(s): None of the standards in this area were fully reviewed at this inspection. EVIDENCE: Several care and individual plans were viewed, all contained assessments of residents needs. One resident spoken with discussed how staff had visited them before they moved into the home and helped them feel “welcome”. Willow Gardens Care Home DS0000059852.V283559.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): 10 Residents are treated in a dignified manner and with respect at all times. EVIDENCE: Three residents spoken with said that staff were “always very, respectful and took the time to find out what I want”, “staff are very good, they have such a lovely manner about them” and “they help me to make sure that I’m dressed nicely and always have my hair done”. Relatives detailed that staff are “courteous”, “polite”, “calm” and “very happy to help”. Staff were able to detail how they maintain the residents privacy and the importance that they place in maintaining the residents dignity. Staff observed during the day spoke in a respectful manner and to demonstrate a kind and warm attitude towards all the residents that they dealt with. Medicines were looked at briefly and were managed in accordance with the homes policies. They were clearly recorded and a brief audit detailed that medicines were accurately given. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 11 Care plans were accurate, although the individual plans for younger adults were medically based and contained little or no reference to support and rehabilitative needs of the residents. Willow Gardens Care Home DS0000059852.V283559.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): 12, 13 Residents have contact with family, friends and the community and the staff supports this, there are a variety of activities within and external to the home suitable to the residents needs. Further development regarding daily living activities is needed for residents living in Willow View. EVIDENCE: Daily on-going activities were available such as ensuring that newspapers were available and residents were able to access their favourite television programmes. One resident said “I prefer to spend my time in my bedroom, staff make sure that I get everything I want”. An activities co-ordinator has a robust programme of activities for the residents in particular for those on living in Willow View, these have included ten pin bowling. However daily living activities in accordance with the standards for younger adults are not explored. These were not available as part of the daily routine of the residents or detailed within the individual plans for all the residents. Families detailed that they are always welcome to come to the Home. One relative said, “staff treat me as though I’m a member of their family, its lovely”. Relatives are involved in the planning of residents care were it is appropriate Willow Gardens Care Home DS0000059852.V283559.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 All complaints are dealt with in an appropriate manner, they are taken seriously and acted on promptly. The Home has a procedure in place to ensure a proper response to any concerns. EVIDENCE: Three residents spoken with said “I have no need to complain, but if I did I’m sure that it would be sorted”, “if I have a issues they are fixed” and “ I’ve told the staff if I’ve a problem and they’ve made sure it was all okay”. The manager keeps clear records of any concerns when raised. None have been raised since the last inspection. Staff spoken with were aware of how to deal with any complaints including allegations of abuse. Copies of the policy on reporting concerns are given to staff when they start working in the home. Copies are also available for the residents in the homes service user guide and in the homes main office. Willow Gardens Care Home DS0000059852.V283559.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): 19 The home is need of maintenance in a number of areas. EVIDENCE: Over the last few months Willow Gardens has operated a maintenance system that was identified by the organisations as not working appropriately. The manager raised concerns with the Head Office and the system is to be changed. The following maintenance issues were noted during the inspection. 1. 2. 3. 4. 5. Shelves in the manager’s office are unsafe. The main corridors are in need of redecorating. The kitchen floor has gaps that present a hazard to staff. Four chairs in the day room were torn and stained. There is no lighting in the main car park as this has broken and not been repaired. 6. The cooker in the kitchen is in need of servicing. 7. The woodwork in the home is in need of repainting or re-staining. DS0000059852.V283559.R01.S.doc Version 5.1 Page 15 Willow Gardens Care Home 8. The scree from the bathroom floor repair has leak down the walls of a corridor and stained the walls. 9. Lighting on the top corridor is dull in particular this is a hazard to residents with poor eyesight. 10. Bedrooms 3, 5, 38 and 43 are in need of redecoration. The manager anticipates that recent delays in attending to maintenance issues will now cease and that the home will then be maintained to its usual good standards. Residents spoken with were generally complimentary about the environment. Two said that their bedrooms were “lovely” and “very nice”. Anther residents said that the home that “its not as nice as it was” Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 16 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): 29, 30 Residents are protected by good recruitment policies. Staff have received a variety of training to enable them to do their jobs competently and plans are in place to meet the gaps in staff training. EVIDENCE: Staff detailed that they have a variety of training available and are supported to undertake training as they need or request. The Home has recently put into place senior carer assistants to undertake more of a management role. These staff receive training to a higher level and have specific training to meet their job role. Training is available and has been undertaken by staff in medication and control of substances hazardous to health. However staff had not managed either of these two areas in accordance with their training or the Homes policies and procedures. The staff records viewed show that the staff receive full and proper employment checks prior to commencing working, this includes, a Criminal Records Check, 2 references, proof of identity and evidence of their experience and training. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 17 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, 35 The manager is registered with CSCI and makes sure that residents are protected, well cared for and that their views are the top priority. Resident’s financial interests are safeguarded. EVIDENCE: The manager is registered with CSCI. She has worked in the home for several years and has been the registered manager for the last three years. She is a registered nurse and has management qualifications. The manager makes sure that she maintains her own learning and undertakes a number of courses. Residents spoken with were very confident at her ability to manage the home, comments included “always happy to help”, “she makes sure that the home runs properly” and “very supportive to everyone”. There is a full policy regarding resident’s finances that is included in the information given to residents when they arrive in the home. Clear records are Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 18 available that give residents information about what funds they have available. Residents are supported to manage their own personal allowances as appropriate. Residents can request that the home looks after their money and records such as receipts are kept to make sure that the money is managed in accordance with the resident’s choices. Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 19 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 23 (2) (b) Requirement The maintenance issues in this report must be addressed. Timescale for action 20/05/06 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 OP1 OP7 Good Practice Recommendations Different formats should be for resident’s information such as the Statement of purpose and Service Users Guide. An expansion of the good practice regarding more personal centred care planning on Willow View unit should be considered for the Home as a whole. Staff should be supported to move away from medically based care plans and base plans on the clear needs of residents. The manager should formalise the monitoring of residents needs in order to clearly monitor that there is always staff to meet the identified dependency needs of the residents. The manager should ensure that the training needs discussed in the inspection are undertaken within the training programme developed by the Home and further training needs are identified and planned for. In particular for Willow View residents with specialised needs. 3. 4. OP27 OP30 Willow Gardens Care Home DS0000059852.V283559.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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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