Inspection on 04/08/05 for Wishing Well

This inspection was carried out on 4th 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

Wishing Well 25/10/07

Wishing Well 01/11/06

Wishing Well 26/01/06

Wishing Well 25/11/04

Wishing Well 11/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Wishing Well 37 Leven Road Dringhouses York YO24 2TL Lead Inspector Maggie Coxon Unannounced 4 August 2005 10:30 th 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. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wishing Well Address 37 Leven Road Dringhouses York YO24 2TL 01904 337566 01904 337566 dedepip@aol.com Denise Mary Thompson 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) N/A Care Home Only 3 Category(ies) of Old age, not falling within any other category registration, with number (OP) 3 of places Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 25.11.04 Brief Description of the Service: Wishing Well is a care home registered by Mrs Denise Mary Thiompson to provide personal care and accommodation for up to three older people of either gender. The home consists of a two-storey semi-detached house situated on a quiet road in a suburb of York and is within walking distance of local facilities and amenities including shops, cafes and pubs. The amenities of York city centre are also accessible by transport. All three bedrooms are for single accomodation, none of which has ensuite facilities. These are all on the first floor and are close to the shared bathroom. There are WC facilities on the ground floor. The home has a well maintained garden and an area of hardstanding for parking to the front. there is ramped access to the home. The registered person is the principal carer and she is assisted by her husband and a part time care assistant. The registered person and her husband live on the premises. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 4th August 2005, at a time when most or all of the people living in the home would be present. It took 4.25 hours plus 1 hour’s preparation time. Discussions were held with two of the three people currently living in the home, the third resident was not present. Discussion was also held with relatives who were visiting and with the proprietor. A number of records and most areas of the home, including bedrooms and shared areas, were seen. What the service does well: The proprietor, her husband and a care assistant, who make up the staff team, are committed to putting the needs and wishes of the residents first. Residents are encouraged to be as independent as possible and there is always someone on duty at any given time to ensure that residents are given individual attention where required. Residents are involved in the day-to-day running of the home as much as possible and are supported, as necessary, to get out and about in their local community and beyond. The team communicates very well with individuals who are encouraged to make as many choices and decisions as possible. Good assessment and care planning systems are in place, which help the proprietor to decide if and how she can meet the health and social care needs of prospective residents. These systems also help the team to understand and meet the needs and wishes of people currently living in the home including any changes to these. The home is well maintained and was clean, warm and comfortable at the time of this inspection. Both residents said that they like their own bedrooms and have included their own belongings. Good systems are in operation, which are supported by well-maintained records. Wishing Well CS0000015835.V237332.R011.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. Wishing Well CS0000015835.V237332.R011.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 Wishing Well CS0000015835.V237332.R011.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) 1,3,5 and 6. Well-detailed information about the home is made available to any prospective residents and/or others involved in arranging a placement within the home enabling them to make an informed choice. EVIDENCE: The proprietor has produced a well-detailed statement of purpose and service user guide. These provide a lot of information concerning services and facilities provided within the home to prospective and current residents and anyone else involved in arranging a placement within the home. The resident who was receiving respite care had been given a copy of both documents. An assessment of the needs of each resident had been undertaken prior to their admission and a well-structured introductory programme was being followed. One of the residents explained that they had visited the home and met the other residents before moving in. The home does not provide intermediate care. Wishing Well CS0000015835.V237332.R011.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) 7,8,9 and 10. Residents’ personal and health care needs are fully met. EVIDENCE: All of the people living in the home are registered with a local GP through whom specialist health services are accessed as and when needed. Each of the residents has health checks as required including dental, chiropody and eyesight checks. The relative of one of the residents said that she is confident that her relative’s health needs of are being fully met and praised the way that the proprietor promotes and encourages her good health. The proprietor was seen to communicate very well with residents and to support them with their personal care needs in a way that respected the individual’s dignity. None of the residents is able to take their own medication. There is a monitored dosage system in operation, which is securely stored. Medication administration records are well maintained and the proprietor and care assistant have received some medication training on the system in operation. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 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 standard(s) 12,13,14 and 15. Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social opportunities and develop and maintain good relationships with family and friends. They enjoy a wide choice of home cooked, good quality food. EVIDENCE: Residents were seen to be generally enjoying a very relaxed lifestyle in the home. They talked about recent outings and holidays organized by the proprietor in consultation with them. Residents are supported to develop and maintain relationships with families and friends. The relative of one of the residents explained that they are free to visit the home at any time and are always made welcome when they do so. Residents are encouraged to eat a healthy diet and to drink plenty of fluids throughout the day. Residents said that the meals provided are very good and the proprietor was seen to prepare a delicious, nutritious lunch for them. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 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 standard(s) 16 and 18. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: There is a comprehensive complaints procedure in operation that is made available to anyone who wishes to see it. No complaints have been made to the home or to the C.S.C.I. within the last twelve months. The team has developed very good relationships with the residents and the proprietor was seen to communicate extremely well with them. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 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 standard(s) 19,20,21,22,23,24,25 and 26. The standard of the environment is good and provides residents with a safe, comfortable and clean place in which to live. EVIDENCE: The home is well maintained and pleasantly decorated and furnished throughout and a good standard of cleanliness is maintained. All three bedrooms are for single accommodation, are of a suitable size and are very pleasantly decorated and furnished. These are all on the first floor and are accessed by a single staircase; the home does not have a lift. Residents said that they are very happy with their rooms. Whilst none of the bedrooms has en suite facilities, they are all close to a shared bathroom and there is a WC facility on the ground floor. This is easily accessible from the shared areas that consist of a kitchen, a dining room and a lounge all of which are well maintained and furnished and pleasantly decorated. The hall, stairway and landing have all recently been redecorated and a new stair rail has been fitted. There is ramped access to the home and appropriate aids are in place. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 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 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) 27,28,29 and 30. The residents receive a good standard of care from a highly skilled and motivated staff team. EVIDENCE: The registered provider, her husband and a part time care assistant make up the team who between them staff the home at all times. The registered provider and her husband live on the premises and can be summoned for help at night by the residents via a call system. Residents and their relatives said that the home was appropriately staffed at all times in their view. Whilst no new staff have been employed since the last inspection, appropriate recruitment procedures have been followed when employing new staff in the past. The care assistant employed has undertaken induction training, medication training, health and safety training and adult protection training. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 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 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) 31,32,33,35, 37 and 38. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The proprietor has considerable management experience and is currently undertaking an appropriate management qualification. Residents said that she is very approachable and is very supportive and encourages their personal development fully. It is evident that she runs the home in the best interests of the residents at all times. The proprietor does not hold any monies on behalf of the residents. The proprietor has recently undertaken further health and safety training and appropriate heath and safety systems and procedures are in operation including regular fire safety checks of the premises and equipment. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 15 One of the residents had, since the last inspection, had a fall resulting in their admission to hospital where they are currently receiving treatment. The proprietor had recorded these details fully in the resident’s care notes and on an accident record. She had not however informed the C.S.C.I of the accident, as she should have, because she was not aware of the need to do so. This matter was discussed fully and it was agreed that some reporting forms would be sent to her to assist her in this process. She explained that she would complete and submit one for the recent accident and would report any future accidents or incidents. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 16 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 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 x 3 2 3 3 x 3 x 1 3 Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 17 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 37 Regulation 37 Requirement The proprietor must notify the CSCI in writing of the recent accident suffered by a resident. The proprietor must notify the CSCI in writing of any future serious accident or illness suffered by a resident and of any incident affecting a residents well being. Timescale for action By return of post following receipt of the reporting form. From the date of the next occurance. 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 31 Good Practice Recommendations The proprietor should complete an appropriate management qualification. Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 18 Commission for Social Care Inspection Unit 4 Triune Court Monks Cross York YO32 9ZT 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 Wishing Well CS0000015835.V237332.R011.doc Version 1.40 Page 19 - 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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