Random inspection report
Care homes for older people
Name: Address: Willows Court 107 Leicester Road Wigston Leicestershire LE18 1NS one star adequate service 24/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Linda Clarke Date: 0 7 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Willows Court 107 Leicester Road Wigston Leicestershire LE18 1NS 01162880223 01162880223 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Rebecca Keightley Type of registration: Number of places registered: Conditions of registration: Category(ies) : BestCare Limited care home 29 Number of places (if applicable): Under 65 Over 65 18 18 29 24 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 24 No one falling within category MD(E) or DE(E) may be admitted into Willows Court when there are 18 persons of category MD(E) or DE(E) already accommodated in the home No one falling within category OP may be admitted into Willows Court where there are 29 persons of category OP already accommodated within the home No one falling within category PD or PD(E) may be admitted into Willows Court when there are 24 persons of category PD or PD(E) already accommodated in the home
Care Homes for Older People Page 2 of 10 No one under 55 years falling within category PD may be admitted into Willows Court Rooms 21, 22 and 23, within Willows Court are not to be used for residents who fall within categories PD or PD(E) The maximum number of persons accommodated within Willows Court is 29 To be able to admit the named person of category PD named in variation application number V32221 dated 15th May 2006 Date of last inspection Brief description of the care home Willows Court is a residential care home for up to 29 people. The home is a modern property situated in a quiet residential area of Wigston town and is accessible by main road and bus services. Accommodation is over three levels with the majority of bedrooms being on the first and lower ground floors. All levels of the home are accessible by a passenger lift. There are two lounges and a dining area with a conservatory attached. Smoking is only permitted in the conservatory area. There are six shared rooms with en-suite facilities. Eric, the cat, lives at the home. Information regarding fees is available by contacting The Registered Manager, for people who have their care funded by Social Services a representative of Social Services will undertake a financial assessment to determine an indivdiuals financial contribution to their care. People considering using Willows Court are encouraged to contact the home directly. The full details about the home and any specific requirements can be obtained from the home in the form of the Statement of Purpose and the Service User Guide. The findings of the most recent inspection carried out by the Care Quality Commission can be found in their report which is available at the home. 2 4 0 6 2 0 0 9 Care Homes for Older People Page 3 of 10 What we found:
The Random Inspection took place to follow up on requirements made at the previous Key Inspection, and review progress within the home. We found that their were improvements to the level of information recorded within care plans and we found that risk assessments were completed well, and were regularly reviewed and updated. We found that the Registered Manager had consulted with an Environmental Health Officer with regards to the poor natural light of some bedrooms to the rear of the property on the ground floor. Additional trees have been cut back, but their remains a lack of natural light in these bedrooms, the Registered Manager has fitted light bulbs of greater wattage, as artificial light is required throughout the day. A Controlled Drug cabinet has been installed which complies with legislation to ensure the safe storage of medication within this group of drugs. We found that the Statement of Purpose and Service User Guide had not been reviewed, this means that existing and prospective service users do not have access to up to date and accurate information as to the services provided by Willows Court. What the care home does well: What they could do better:
Care plans were written from the service users perspective, and consideration is made to person centred care. Staff would benefit from training which enables them to understand what person centred care is and the positive impact this has on a service users quality of life.
Care Homes for Older People Page 4 of 10 We found examples where improvements could be made to care plans, to ensure that they provide greater clarity of information for staff to follow, to ensure that the health of service users is promoted and monitored. Care plans included information where individuals had Dementia, specific care plans need to be developed and contain greater detail including known triggers that affect individuals well-being along with measures as to how to deal with or anticipate situations which may cause distress or anxiety. Care plans for those with Dementia need to focus with greater detail on preferred daily routines, and information gathered about their lives prior to Willows Court to be used to provide support to reduce and anxiety and distress in order to promote their quality of life. Risk assessments were in place where risks had been identified which included topics related to health care including falls, nutrition and pressure area care. We found examples of where risk assessments had identified a change to the care the person required, which had not been used to update and influence the care plan, this practice does not promote the health and well being of those using the service. Decisions as to whether an action is carried out or not and why need to be recorded. Risk assessments and care plans linked to peoples weight/nutritional needs and moving and handling need to ensure that where people are found to have lost or gained weight, a check is made to ensure that the sling used for moving and handling is the right size for the service user to ensure their health and safety. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 4 The Registered Person to 31/07/2009 review the Statement of Purpose so that it contains up to date and accurate information as detailed within Schedule 1 of the Care Homes Regulations 2001. To assist people in making an informed decision as to whether Willows Court can meet their needs. 2 1 5 The Registered Person to review the Service Users Guide so that it contains up to date and accurate information about Willows Court and the service is provides. To assist people in making an informed decision as to whether Willows Court can meet their needs. 31/07/2009 3 1 4 The statement of purpose and service user guide must be kept up to date, contain accurate information about the home, services offered, staffing, training and the management of the home. To ensure people can make an informed decision about 21/02/2009 Care Homes for Older People Page 6 of 10 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action using the home that meets their needs. By failing to do so, you are in breach of Regulation 4 and Schedule 1, which is an offence under the Care Homes Regulations 2001. 4 7 15 The registered person to 31/07/2009 develop care plans which provide information and guidance as to how someone with dementia is to be supported. All care plans to include individuals preferred daily routines To promote the well-being of people. Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 1 4 The Registered Person to 31/03/2010 review the Statement of Purpose so that it contains up to date information as detailed within Schedule 1 of the Care Homes Regulations 2001. To assist people in making an informed decision as to whether Willows Court can meet their needs. 2 1 5 The Registered Person to review the Service Users Guide so that it contains up to date and accurate information about Willows Court and the service is provides. To assist people in making an informed decision as to whether Willows Court can meet their needs. 31/03/2010 3 7 15 The registered person to 31/03/2010 develop care plans which provide guidance as to how someone with Dementia is to be supported, included
Page 8 of 10 Care Homes for Older People Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action known triggers and mechanisms for supporting someone should they become anxious or distressed. All care plans to include individuals preferred daily routines. To promote the wellbeing of service users, and improve the quality of their lives. 4 7 15 The registered person to ensure that the reviewing of care plans and risk assessments are combined, to ensure consistency of information. To ensure that the health and wellbeing of service users is promoted and maintained. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 31/03/2010 1 7 A system be adopted to ensure that service user weights, which are regularly taken are linked with a review of risk assessments and the persons care plans where service users are hoisted to ensure that the correct sized slings is used. A schedule for maintenance is established to ensure that slings used for hoisting service users are in good working order and are safe. 2 38 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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!
