Inspection on 25/08/05 for Wingham Court

This inspection was carried out on 25th 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

Wingham Court 13/06/07

Wingham Court 06/12/05

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 Oaken Lane, Claygate Surrey, KT10 0RQ Lead Inspector Catherine Campbell-Ace Unannounced 25 August 2005 10:00 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. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wingham Court Address Oaken Lane, Claygate, Surrey, KT10 0RQ 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) 01372 464612 01372 462421 BUPA Care Homes (AKW) Ltd Mrs Mary Hagon CRH Care Home 73 Category(ies) of LD Learning disability, 2 registration, with number OP Old age, 35 of places PD Physical disability, 38 Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Up to 16 of the above beds may be used for respite and short stay care. 2 Up to 3 beds may be used for palliative care. 3 Up to 6 beds may be used for physical disabilities in Ruxley. 4 Up to 20 beds in Claremont may be used for physical disability for Service Users with mild challenging behaviour. 5 Total number of beds not to exceed 73. 6 Staffing to be increased to maintain a minimum of 1:3 resident ration and 1:5 at night. Date of last inspection 30-September-2004 Brief Description of the Service: Wingham Court is a purpose built home for 73 residents. It provides accommodation for 35 older people and 38 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 ensuite facilities. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted four hours. The manager, service users and staff assisted in the inspection. The staff were observed to be polite and courteous and the atmosphere within the home was relaxed and friendly. The inspector wishes to thank the manager, staff and service users for their hospitality during the inspection. Daily records, care plans, policies and accident and complaints records were viewed. The inspectors spoke with service users and staff. One service users said: ‘it’s very good here, I can’t complain, I haven’t seen a better home than this.’ And another: ‘The accommodation is excellent, I have a lovely shower. The staff are very nice, ’ Staff said that they enjoyed working in the home, and they enjoyed caring for the service users. What the service does well: Service users looked well cared for and appropriately dressed. They were smart in appearance and informed the inspector that they were happy in the home. One service user’s relative wrote: ‘ I would like to say that on the last couple of occasions I have taken J down to the river, at Walton Bridge for a picnic, I have noticed a change in him. He looks very well, has a positive mental attitude, and I even think his manual dexterity has improved. He has nothing but praise for Wingham Court, the staff especially and the food (I am quite envious of the food he gets.)’ The home has a relaxed and friendly atmosphere, with service users taking advantage of the many activities offered to them. These include a computer room, various outings and structured activities for service users on the head injury unit (YPD1). An all day café, which will cater for service users and families is to open in the immediate future, which will offer all day meals and snacks. Fresh fruit and gateaux, displayed in chiller cabinets were available to service users in the dining rooms. One service user said: ‘ If the staff leave I am on the verge of tears, wonderful nurses, staff so kind.’ Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 6 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. Wingham Court H58 s13350 Wingham Court v235015 250805 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 Wingham Court H58 s13350 Wingham Court v235015 250805 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) EVIDENCE: Standards 3 and 6 were not assessed during this inspection. Wingham Court H58 s13350 Wingham Court v235015 250805 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) 7,8,10 There is a clear and concise care planning system in place that provides staff with the information they need to satisfactorily meet service user’s needs. EVIDENCE: Care plans were viewed and were found to be clear, concise and updated as and when necessary. Care plans included a map of life, which informed carers of the service user’s past life, children, and wishes and dreams. Risk assessments were evident and were updated regularly. These included falls risk assessments and bed rail risk assessments. Care plans were drawn up with the service user and signed by service users or representatives. Records of the incidence of pressure sores, treatment and outcome were clearly written and equipment necessary for the prevention or treatment of pressure sores was provided. It was evident that regular nutritional screening was undertaken, and speech therapists and dieticians were involved in the care of service users with PEG tubes. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 10 Service users chose their own General Practitioner, who visits regularly. Chiropody, eyesight tests and dental services were available to service users. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 11 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) 12,13,14,15 Service users were observed to experience a full life with opportunities to take part in varied activities. Family and friends are able to visit and service users exercise choice and control over their lives. The home offers choice within a well balanced diet. EVIDENCE: It was evidenced that service users were offered various activities in the home. On the day of inspection five service users were taken out to the local village. Activities included skittles, bingo, darts, bowling, a talk on Vancouver, and an art workshop. An outing has been arranged to go to Denby pottery next week and a previous outing was to Kew gardens. Several service users frequent the local pub and are able to go every Friday. A video room has been set up as a cinema, for service users to watch DVDs or videos of their choice. The manager said that it was treated as a real cinema show with soft drinks, sweets and popcorn offered to service users while they watched the film. The home has recently been provided with a computer room for the use of service users, families and staff. At the time of inspection, a service user who was over 90 years old, was writing a letter which he would later email to his Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 12 relative. It was observed that this service user took great pride in the achievement of using a computer at his age. Another service user said that she could use the web camera to keep in touch with her brother in New Zealand. This was a particularly good facility for this service user as she said that she would not see her brother again if it wasn’t for the web camera. This service user was also over 90 years old. The home is to be commended for facilitating computers for service users. Five members of staff took four service users on holiday camp this year. These service users required 24 hour care as a result of multiple physical disabilities and challenging behaviour. The manager said that none of the service users had been away on holiday before and the five staff members gave up their spare time to take the service users away. It was written on the news letter: ‘One resident who’s quiet and withdrawn joined in all the games and won a quiz, and it was an emotional experience when the resident I mentioned earlier, got up to dance with S, as normally he can only walk with assistance.’ Service users in the Young Physically Disabled 1 unit had very structured activities organised for them. These were displayed on the wall, in written and pictorial format. Activities for these service users included drawing, crossword, ball games, swimming, cooking and arts and craft. Service users said that they could receive visitors without restrictions. One said: ‘This is a most easy going home; there are no restrictions on visitors’. Another service user said that his family visit him in his room and his children are allowed to play in the garden outside his room. It was evidenced that service users were offered three full meals each day. Gateaux and fresh fruit were displayed in chiller cabinets in the dining rooms. One service user said: ‘The food is excellent – I have a choice – the chef cooked me a curry, he is my friend’. The food was observed to be well presented and appetising. Special diets were catered for and dieticians were involved in assessing service user’s diets. Nutritional screening was carried out regularly. The manager said that an all day café was to open the following week, with a chef on duty from 8am-7pm daily. He will provide cooked meals, snacks and drinks all day for service users and relatives. The area had been refurbished as a modern café. The manager said that she was very proud of this new development. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 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 standard(s) 16 The home has a satisfactory complaints system with evidence that service users feel their views are listened to and acted upon. Service users were aware that they could inform the manager when they had a complaint. EVIDENCE: Service users were aware, when asked, who they would inform if they had a complaint. The complaints policy was evidenced to be available to service users. Records of complaints were viewed and included details of investigations and any action taken. Staff said that they would complain to the manager if they had a complaint to make. The address and telephone number of The Commission for Social Care Inspection was included in the complaints policy. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 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 standard(s) 19,26 The standard of the environment is high, providing service users with a safe, attractive and homely place to live. EVIDENCE: It was observed that the home was attractive and well maintained. Service user’s bedrooms were spacious and communal rooms were bright, airy and clean. There were ample areas for service users to relax in. Service users could bring items of furniture, ornaments and photographs for their bedrooms, if they wished. Bedrooms were observed to have restrictors fitted to windows. Risk assessments of the environment were evidenced and reviewed regularly. The home’s laundry has a sluicing facility. Policies for the control of infection were viewed and staff had training in infection control. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 15 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) EVIDENCE: Standards 27,28 and 29 were not assesses during this inspection. Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 16 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) 38 The manager promotes the health, safety and welfare of service users. EVIDENCE: It was evidenced that staff received training in manual handling, fire safety, first aid, food hygiene and infection control. Regular checks were made on the boiler, lift, electricity, water temperatures, legionella, wheelchairs and slings. The home had made risk assessments of the environment and had a policy concerning COSHH products. The fire log was viewed and regular fire drills had been carried out. Wingham Court H58 s13350 Wingham Court v235015 250805 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 3 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 Wingham Court H58 s13350 Wingham Court v235015 250805 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 8 Regulation 14(2) Requirement The manager must ensure that the service user with dementia is appropriately placed within a service which can meet her needs. Timescale for action 25/11/05 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 Good Practice Recommendations Wingham Court H58 s13350 Wingham Court v235015 250805 stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Wingham Court H58 s13350 Wingham Court v235015 250805 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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