Inspection on 13/06/07 for Wingham Court

This inspection was carried out on 13th June 2007.

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

Wingham Court 06/12/05

Wingham Court 25/08/05

Wingham Court 30/09/04

Wingham Court 26/04/04

Wingham Court 10/05/02

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Bethany Lodge

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

CARE HOMES FOR OLDER PEOPLE Wingham Court Wingham Court Oaken Lane Claygate Surrey KT10 0RQ Lead Inspector Lesley Garrett Unannounced Inspection 13th June 2007 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 Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 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. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wingham Court Address Wingham Court Oaken Lane Claygate Surrey KT10 0RQ 01372 464612 01372 462421 sylvestj@bupa.com 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) BUPA Care Homes (AKW) Ltd Mrs Jacqueline Sylvester Care Home 73 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (21), Physical of places disability (52) Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2006 Brief Description of the Service: Wingham Court is a purpose built home for 73 residents. It provides accommodation for 21 older people and 52 young disabled people including two learning disability clients. The home was initially registered as two separate care homes, and registration was combined under the name of Wingham Court in September 2003. The home is in a rural setting close to the village of Claygate. It has extensive well-maintained grounds. Accommodation is provided in single rooms all of which have en-suite facilities. The fees for the rooms are £1,160 for elderly frail per week and for the young physically disabled the weekly rate starts at £1,400 per week then each individual need is assessed prior to admission. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 0930 and was in the service for four hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. We looked at the home’s records and completed a tour of the building. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Service users at the home are now predominately in the 18-65 year age group with only one unit for elderly frail of twenty-one beds. Future reports will use the younger adult template. What the service does well: The home is undergoing a refurbishment internally and externally and this has been managed well by the manager with minimal disruption to the service users. A meeting was held with the planners, which service users were invited to and all refurbishment has been in consultation with the service users. All service users have now been changed to the new documentation for individual plans of care which are comprehensive and are regularly reviewed. Regular training takes place for all staff and records are kept to demonstrate which staff members have attended. Agency staff have not been used at the home and the manager had had an award from BUPA recently as she can also provide staff to other local homes instead of the need for agency staff. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 6 From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 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 Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All service users have a pre-admission assessment to ensure that their needs can be met prior to admission to the home. The home does not provide intermediate care beds. EVIDENCE: The manager stated that both her and the deputy do all the pre-admission assessments prior to service users moving to the home. For the more complex assessments she said that she would often take one of the physiotherapists with her. BUPA have recently changed the documentation that they use and for the most recent admissions we observed these assessments in place and care plans are then generated from this document. The home does not provide intermediate care beds. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 9 Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have individual plans, which reflect the care and support they require and their health care needs are fully met. The medication policies and procedures that are in place and implemented by staff protect service users. The privacy and dignity of the service users is respected. EVIDENCE: BUPA have introduced a new care planning system recently called QUEST and all service users in the home have this system for their individual plans of care. We sampled four individual plans of care and they contained a variety of care plans and risk assessments. It was observed that service users or their representatives had been consulted and the staff had reviewed them monthly. The manager stated that the home has good support from other health care professionals. The General Practitioner (G.P.) visits every week and more frequently if needed. The manager also stated that service users could retain their own G.P. if they wish to. The speech and language therapist and dietician Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 11 visit regularly and the continence advisor. Other visitors are the opticians, chiropodist, community psychiatric nurse and aromatherapist. The manager stated that service users can go to the clinics to see these practitioners if they wish to. The home has their own physiotherapy department and physiotherapists and on the day of the site visit we observed this facility and spoke with some of the service users using the department. One of the physiotherapists showed the paper work that is used to assess each service user and how they could measure their improvement. One service user stated that they had really improved since she had been attending and now only attends once a month. The manager stated that the home has the support of a local pharmacy for all their medication needs. We observed that blister packs are used and their supplies are delivered every month. The medication is stored in the clinical room and all medication policies and procedures are available for the nurses. The manager said that arrangements are in place with a clinical waste company for the removal and destruction of unused medicines. The manager told us that privacy and dignity is a topic discussed on induction for all new staff. We observed staff knocking on bedroom doors prior to entering and speaking appropriately to the service users. We observed in the individual plans of care that the preferred name of the service user was documented and the manager said this question is often asked during the preadmission assessment. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Social and recreational activities meet the service users expectations and they receive a varied diet according to their assessed requirements and choice. EVIDENCE: The home has activities organisers and volunteers who help and something is arranged for everyday. A programme is displayed and on the day of the site visit we observed activities taking place in the garden. Day trips and holidays have also been arranged for both units and the visits have included Hampton Court, Brooklands and garden centres. One service user told us that his favourite place was Brooklands Museum. The manager stated that the young physically disabled (YPD) unit has high nursing needs and therefore they do not attend day units routinely. The home benefits from their own mini bus and therefore trips out are easy to arrange. There is a large computer room for use by the service users and this room is staffed during the day. One service user is able to keep in contact with family Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 13 abroad by using the Internet in this room. The manager stated that three service users from the YPD unit took part in the great BUPA South run helped by members of staff and were very proud of their medals. Family and friends can visit at any time and the manger said that there are no restrictions. We met with a relative on the day of the site visit that said her father had settled very well and was looking forward to moving into his new room once the refurbishment was complete. The manager stated that all service users are given choice about all of their activities of daily living. They choose when to get up when to go to bed and what food they would like to eat. On the day of the visit we observed some service users in bed because they had chosen to have a lie in. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are protected by the homes complaints policies and safeguarding procedures. EVIDENCE: The manager stated that the home keeps a complaints log and she had received one complaint since the last inspection, which is still being investigated under the homes own procedures. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. We observed that the home has the local authorities procedures for safeguarding adults and the manager stated that the home follows these procedures. The manager stated that the home has had no referrals under these procedures since the last inspection. Documentation observed by us demonstrated that staff has had training in safeguarding adults and this takes place regularly. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service live in a well-maintained environment, which was clean and hygienic. EVIDENCE: Wingham Court is in the middle of a total refurbishment programme. The manager told us that the changes had been discussed and agreed with the service users and is due for completion at the end of August. Bedrooms are being decorated and broadband will be installed into every room and there will be flat screen televisions. In each room there will also be new furniture, curtains and lighting. The manager explained the reception area is also benefiting from the refurbishment programme and that will now have sliding doors at the entrance Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 16 to enable easier wheelchair access and there will be a coffee bar for use by the service users. The garden is also being refurbished and the manager said that service users were also consulted about this. An animal sanctuary is planned and service users will be looking after these animals there is also planned a mini golf course and a large chess and drafts board. The decorators were in the home on the day of the site visit and all necessary health and safety checks were in place and the corridors remained free from clutter. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of people who use the service. EVIDENCE: The manager told us that there are high staffing levels at the home and we observed this on the rotas. Each unit has their own rota and the deputy oversees them and ensures that there is a good skill mix of staff. The manager stated that they do not use agency staff as they have sufficient bank staff to cover vacant shifts. The manager stated that staff are encouraged to participate in the national vocational qualification (NVQ) training available and more than 50 of the staff have this qualification at level 2. We sampled four staff recruitment folders and found that all the necessary documentation to enable the home to employ staff were in place. The home has a training co-ordinator who showed us the training that had taken place so far this year. All mandatory training had taken place or was planed and this included manual handling, fire and safeguarding adults. Staff has also had training in challenging behaviour that will meet the needs of some Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 18 of the service users at the home. All staff receives induction training and the training co-ordinator showed us the books that are used at the home. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness, and has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The manager has been in post since November 2005 and the home has recently had a major change in registration and has the majority of service users as young physically disabled (YPD) and a twenty-one bed unit for frail elderly. The manager told us that she has an open door policy at the home and often service users come to the office for a chat. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 20 Quality surveys are carried out at the home and this includes the service users, their relatives and other stakeholders. The manager also stated that she could keep in touch with relatives or representatives via e-mail if they have this facility. Regulative relative and service user meetings are held at the home and minutes are kept. People that are involved in the refurbishment programme were invited to the meeting prior to work commencing to enable them to explain what would be happening to the home. The managers stated that no service user manages their own finances but the home provides a personal allowance account. All transactions are documented and individual records and all receipts are kept. The homes administrator manages this account. All necessary health and safety checks have taken place and we looked at the records provided on the pre-inspections questionnaire and also spoke to the manager. All certificates are current and the manager identified no health and safety issues during the site visit. Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 21 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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X 4 X 4 X X 4 Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 22 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. 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. Refer to Standard Good Practice Recommendations Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Wingham Court DS0000013350.V339272.R01.S.doc Version 5.2 Page 24 - 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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