Inspection on 06/12/05 for Wingham Court

This inspection was carried out on 6th December 2005.

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

Other inspections for this house

Wingham Court 13/06/07

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 Mavis Clahar Unannounced Inspection 6th December 2005 09:45 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.V270929.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. Wingham Court DS0000013350.V270929.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wingham Court Address Wingham Court Oaken Lane Claygate Surrey KT10 0RQ 01372 464612 01372 462421 hagonm@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 Mary Hagon Care Home 73 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (35), Physical of places disability (38) Wingham Court DS0000013350.V270929.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Up to 16 of the above beds may be used for respite and short stay care. Up to 3 beds may be used for palliative care. Up to 6 beds may be used for physical disabilities in Ruxley. Up to 20 beds in Claremont may be used for physical disability for Service Users with mild challenging behaviour. Total number of beds not to exceed 73. Staffing to be increased to maintain a minimum of 1:3 resident ration and 1:5 at night. 25th August 2005 Date of last inspection 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 en-suite facilities. Wingham Court DS0000013350.V270929.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be undertaken in the Commission for Social Care Commission inspection year March 2005 to April 2006. To obtain a fuller understanding of how the home met the National Minimum Standards it is necessary to read both reports for the year 2005/2006. The home received an announced inspection on 25th August 2005. This unannounced inspection took place on 6th December 2005. This means that no one at the home was aware of this inspection. Mrs Jacqueline Sylvester is the new acting Manager of the home. The registered manager has recently resigned. The first part of the inspection was spent discussing the format the inspection would take and reviewing requirements made at the last inspection. This was followed by a tour of the home and grounds, speaking with service users, and care staff. It was noted by the inspector that both the older service users and the younger service users interacted very well. One service user who falls within the Older People’s category told the inspector “I am not moving downstairs with all those old people, it is such good fun up here with the younger folks I love it”. Another service user was pleased to show the inspector around the Mega Bytes’ room (the computer room) which houses four elevated work stations suitable to re position for the personal use of the young disabled service users. This service user was able to demonstrate his ability to send and receive e-mails from his friends. He also informed the inspector that this room is very busy and there is an appointment system so that service users are not disturbed when they are having a computer session. The second part of the inspection was spent reviewing randomly selected service users files, which revealed satisfactory assessments; good care plans and daily care documented dated and signed. Risk assessments were completed and signed by care worker and service user/representative. This was followed by feedback to the acting manager about the findings of the inspection. What the service does well: The home offers a full programme of activities that the service users told the inspector they enjoy. Service users spoken to on the day of inspection told the inspector the staff respected their privacy and that they were treated well by the staff. One visitor was present during the inspection and she informed the inspector that her relative is having very good care here at Wingham Court. This visitor said she visits daily as she lives quite close to the home. Wingham Court DS0000013350.V270929.R01.S.doc Version 5.0 Page 6 Two care workers one a RGN and the other a care worker have received personal letters of thanks from a relative commending them on the care they have given to her father. 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 DS0000013350.V270929.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 Wingham Court DS0000013350.V270929.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. The home was found to be operating well in respect of these standards. Pre admission assessment for service users were carried out with good care planning included in the service users files EVIDENCE: All service users are assessed by the home or by the social care team prior to being admitted into the home. This is followed by a comprehensive assessment to include mental, physical, social, health and nutritional needs and recreational needs. It is from this assessment that the care plan is drawn with the help of the service user and where necessary their relatives. Service users are risked assesses depending on their identified needs deficits. On the day of inspection the home had one service user in who was being helped to prepare herself for coping at home. This service user is keen to get on with life and is most cooperative in her care needs. Wingham Court DS0000013350.V270929.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): 9 Medications are given at the correct time, documented and signed. EVIDENCE: None of the service users at this home are risked assessed as capable to self medicate. All medications are administered by Registered nurses in line with the Nursing and Midwifery Council’s guidelines on administration of medicines. Random sample of service users medication records revealed that each service user had an up to ate photograph used for identification purposes, a copy of their medication prescription as written by their GP. It was noted that medications were stored safely for the protection of service users. Wingham Court DS0000013350.V270929.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 13 14 15 These standards were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the inspection report of 25th August 2005. Wingham Court DS0000013350.V270929.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): 18 Care workers demonstrated that they had the necessary knowledge to deal effectively with prevention of abuse of vulnerable adults. Service users said they knew how to complain if they were not happy with a situation. EVIDENCE: The home has an adult protection policy and procedure for the protection of service users, and all care workers have had training in recognising, and reporting any suspected or actual incidences of adult abuse. The elaborate training records in the training room and in the care workers personal files further supported this information. It was noted that service users daily files were kept in a mobile trolley at the nurses’ station. A requirement was issued that this trolley should be kept in the locked treatment room to protect the service users sensitive information. Wingham Court DS0000013350.V270929.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 These standards were assessed at the last inspection. EVIDENCE: For further information on these standards please refer to the inspection report of 25th August 2005. Wingham Court DS0000013350.V270929.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 28 29 30 The staffing levels in the home are satisfactory to meet the need of the current service users. Training needs of care workers is given high priority. EVIDENCE: The staffing rota indicated that each unit is staffed to meet the assessed needs of the service user. From observations made during the inspection and discussions with service users and care workers, there seemed to be sufficient care workers on duty to meet the needs of the service users. Service users stated that care workers were kind and caring, and no one said they felt in any way rushed by care workers. The inspector noted that care workers were respectful to service users, yet very friendly. The home employs its own trainer and there is an impressive up to date training record on exhibition in the training room showing all training undertaken by all staff, and when the next training is due. This record goes up to 2007. The home operates a rigid recruitment procedure whereby CRB and POVA checks are completed, two written suitable references obtained prior to engaging staff. During the first few days all new employees are supernumerary and during induction they are shadowed. Wingham Court DS0000013350.V270929.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 35 The home has good leadership, guidance and direction and the staff are aware of their responsibilities to ensure service users receive consistent quality care. The home does not become involved with service users finance. EVIDENCE: The new manager has been in post since 15th November 2005, is a RGN who had completed the Registered Managers Award. She has been a registered manager with Hampshire CSCI. She was observed to operate an pen and available management style; the inspector observed her interacting with service users, care workers and administrative staff in a very confident and positive manner. The inspector was informed that service users manages their finance themselves or their families do so on their behalf. Wingham Court DS0000013350.V270929.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 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 3 28 3 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 Wingham Court DS0000013350.V270929.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? yes 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 OP18 Regulation 17 Requirement To lock away the mobile notes trolley in the treatment room to protect service users sensitive information. Timescale for action 12/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP21 Good Practice Recommendations Re grout the tiles in bedrooms G24 and G26. Wingham Court DS0000013350.V270929.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Surrey Area Office 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. 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