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Please note that the information on this website is now out of date.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 08/11/05 for Willow House - City of York Council

Also see our care home review for Willow House - City of York Council for more information

This inspection was carried out on 8th November 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

The service users were very pleased with the quality of service offered by the home. They commented particularly about the helpfulness of staff. The care manager commented that `the staff are great and are very good at liaison`. The systems for the administration of medicines are good. Interaction between the service users and staff was observed to be relaxed and good-humoured.

What has improved since the last inspection?

The home has responded well to requirements and recommendations made in the last inspection report. There are now completed care plans for all service users which should assist staff in meeting the individual needs of service users. The admission of service users outside the home`s registration category has not reoccurred ensuring that all placements are appropriate. There have been improvements to the appearance and safety of the premises including the installation of new windows throughout, repairs and redecoration in the kitchen, and the replacement of commodes. The manager has obtained the Registered Manager`s Award

CARE HOMES FOR OLDER PEOPLE Willow House - City of York Council Willow House Long Close Lane Walmgate York North Yorkshire YO10 4UP Lead Inspector David Martin Unannounced Inspection 8th November 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 Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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 House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Willow House - City of York Council Address Willow House Long Close Lane Walmgate York North Yorkshire YO10 4UP 01904 630 437 01904 466232 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) City of York Council Mrs Joyce Handy Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th February 2005 Brief Description of the Service: Willow House is a care home run by City of York Council and is registered to provide a service for 33 older people of either gender aged over 65 years who do not have any specialist requirements. Willow House was purpose-built approximately 40 years ago and is located in Walmgate within the city walls. The centre of York is about 20 minutes walk away. There are nearby shops and public houses. Accommodation is provided in single rooms on two floors. The upper floors are accessible via passenger lift. There is a car park to the side of the home and sitting areas to the side and front entrance. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 8 November 2005. It was unannounced and took 6 hours to complete. The majority of time was spent with the service users in the home at the time of the inspection and with the staff on duty. There were opportunities to observe staff interaction with the service users. The relative of one service user and a care manager also spoke with the inspector. A sample of service user files was examined and a check was made as to whether the home had complied with recommendations from the last inspection. Feedback was given at the end of the inspection to the Registered Manager. What the service does well: What has improved since the last inspection? What they could do better: The home’s line manager is planning to review the way in which the home responds to adult protection issues to make sure the procedures are followed. This should ensure that any issues are investigated in the best interest of service users. The care plans are currently adequate and the manager has identified this as an area for further improvement. The registered manager expressed an ongoing commitment to ensuring that service users receive care that meets their needs Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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 Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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&6 Prospective service users have information about the home prior to admission. EVIDENCE: The manager visits prospective service users in their own homes or in hospital. This was confirmed in the case notes of the service user most recently admitted to the home. Where possible they would be invited to spend some time in the home prior to admission as part of the assessment process. Some service users said they had visited the home before making a choice to move in. An initial assessment is recorded. Intermediate care is not provided. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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 - 10 Service users’ health and social care needs are met and the systems for the administration of medicines are good. EVIDENCE: A sample of service user plans was inspected. They have been completed for all service users since March 2005. The plans are adequate and the manager has identified this as an area for further improvement. On the day of inspection the care needs of one service user were being reassessed with a view to securing an alternative placement. There are two other service users requiring more appropriate placements and the manager has this in hand. All service users are registered with a GP of their choice and are able to see other health care professionals as the need arises. Service users confirmed this and evidence was also available in case files. The systems for the administration of medication were inspected and were found to be in good order. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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 – 15 Service users said that the daily life at Willow House was what they expected. EVIDENCE: On the day on inspection, service users said they were happy living in the home. Most are content to watch television in the small lounges or spend time in their own bedrooms. There are some organised activities and one member of staff is employed specifically for this purpose. Service users said that they are able to see their relatives and friends at times convenient to them. They also said that the food was good and there was evidence that choices are available at each meal. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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 the following standard(s): 16 & 18 There are policies and procedures in place to protect service users from abuse but some work is required to ensure that they are followed. EVIDENCE: There have been no complaints about the quality of the service provided at Willow House. At the time of inspection, the manager was dealing with allegations requiring investigation under the Protection Of Vulnerable Adults (POVA) procedures. She spoke with her line manager following the inspection and later confirmed that appropriate action had been taken to ensure the safety of service users. The line manager has identified the need to follow POVA procedures as an area for discussion in supervision with the registered manager. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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 the following standard(s): 19 & 26 Service users live in a home which is well-maintained. EVIDENCE: Service users’ bedrooms are comfortably furnished and have been decorated with personal items such as photographs and ornaments. The communal rooms are maintained in good order. Bathrooms and toilets were clean. Service users said that staff respond promptly to the alarm call system. There were no health and safety issues arising during the inspection. Improvements to the premises include the installation of new windows throughout and redecoration and repair in the kitchen. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 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 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 - 30 Service Users’ needs are met by adequate numbers of staff EVIDENCE: There are adequate numbers of staff on duty and staff. Any gaps in the rota are generally covered through overtime but there are occasions when relief staff are used. Agency staff are not used at present. Staff confirmed that there are arrangements in place for supervision and team meetings. Staff records are not currently held in the home. This has been a longstanding requirement. The manager confirmed that new staff would not be employed in the home prior to confirmation from human resources that CRB (Criminal Records Bureau) clearance has been received. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 14 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 Service users live in a home, which is managed in their best interests. EVIDENCE: The registered manager has achieved the Registered Managers Award and has many years experience working with older people. She is supervised on a regular basis and Regulation 26 visits are carried out on behalf of the registered provider. The staff said that the manager is both approachable and knowledgeable. A sample of monies held on behalf of service users was checked against the record and tallied. The home has a health and safety policy and maintains appropriate records including fire safety. Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 15 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 16 Yes 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 OP29 Regulation 17 Requirement The registered person must ensure that the documentation relating to staff outlined in Schedule 4 paragraph 6 is available and maintained within the home. Timescale for action 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Willow House - City of York Council DS0000034914.V265056.R01.S.doc Version 5.0 Page 18 - 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!