Inspection on 21/11/05 for Wispington House

This inspection was carried out on 21st November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wispington House 17/04/07

Wispington House 19/07/06

Wispington House 22/08/05

Wispington House 26/01/05

Wispington House 24/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Wispington House Mill Lane Saxilby Lincoln Lincs LN1 2QD Lead Inspector Mr Doug Tunmore Unannounced Inspection 21st November 2005 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 Wispington House DS0000002480.V267337.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. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wispington House Address Mill Lane Saxilby Lincoln Lincs LN1 2QD 01522 703012 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) mikedunbnett3@aol.com Mr Trevor William Brock Mrs Heather May Brock Mrs Heather May Brock Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following category:Old age, not falling within any other category (OP) (26) The maximum number of service users to be accomodated is 26. Date of last inspection Brief Description of the Service: Wispington House is a detached property, a former farmhouse, adapted to provided accommodation and care for up to 26 older people. The home is situated in large grounds set back from the main road of the village of Saxilby, which has local facilities within walking distance for the more able residents. The City of Lincoln is approximately four miles away. This homes brochure states our aim is to enhance your quality of life by helping you to lead a full and active life as you would expect living in your own home. The home is managed by the proprietors and operates as a family run business, with the proprietor’s son in law also involved in the management of the home. Accommodation is provided on the ground floor and the first floor with a chair lift available to residents accessing this floor. There are twenty single rooms two with en-suite facilities and three double bedrooms provided one being a flat with its own lounge, kitchen and en-suite facility. Both owners, one of whom is the registered care manager, have daily involvement in the running of this home. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The main method of inspection used was called case tracking, which involved looking at policies and procedures relating to maintaining the safety and general welfare of residents. Residents were spoken to as well as a visitor, the manager and care staff and observations were made of care practices. A partial tour of the home took place. What the service does well: What has improved since the last inspection? What they could do better: Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 6 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. Wispington House DS0000002480.V267337.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 Wispington House DS0000002480.V267337.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): The key outcomes were assessed at the last inspection. EVIDENCE: Wispington House DS0000002480.V267337.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): 8&9 An accurate record of accidents to residents and medication given to residents is not kept. Residents health care needs are met. EVIDENCE: Individual care plans evidenced that accidents are recorded in the home’s accident book and in the resident daily notes. The home also uses body maps for the mapping of any cuts or abrasions to residents. One accident form was checked through the homes accident procedures and it was found that it had been recorded appropriately. Files seen confirmed that health care professionals visit the home when required by the residents. A carer was aware of the homes procedure for recording accidents to residents. The pharmacist inspected the home on the 15/06/05 and recorded that storage and administration records of medication is carried out appropriately. However, it was found on inspecting the medication cassette that one resident had been given her Tuesdays dosage rather than Mondays, which was the day of this inspection. One resident looks after her own medication and a lockable facility Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 10 is available to her. A self-medication risk assessments was seen and had been signed by the resident acknowledging that she could look after her own medication needs. Files showed that GPs and community nurses visit the home to attend to the health care needs of residents. One resident confirmed that the manager takes him to his GP when he needs to see him. As part of the inspection process the Commission sends to the home residents/ relatives and friends comment cards. One comment card returned commented that ‘whilst I was away my aunt became very unwell. The home called a GP and on his advice the owner took her to hospital and stayed with my aunt until she was settled, returning to the care home late in the evening. I was kept informed throughout’. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 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 the following standard(s): Relatives and friends of residents are made welcome in this home. Activities are provided by the home. EVIDENCE: The homes visitors signing in book was seen and showed that numbers of visitors attend this home on a daily basis at differing times of the day. Relatives/friends comment cards showed that they were made welcome by care staff at the home when they visited. Residents stated that refreshment is made available to their visitors who they can see in the privacy of their rooms. The home has an activities worker who works six hours per week split between three days. Two residents said that a lady comes in three days a week and we have a quiz, or a sing along. She also sees to our personal needs like finger nails and she talks to us. The notice board showed that entertainers visit the home and a trip to a local public house has been arranged for a meal and war time remembrance. One resident said ‘ I’m alright here’. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 12 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): The key outcomes were assessed at the last inspection. EVIDENCE: Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 13 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): The key outcomes were assessed at the last inspection. EVIDENCE: Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 14 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 home has not followed its own recruitment procedures. Residents benefit from a staff team who are well trained and work well together and compliment each others skills. EVIDENCE: Two personnel files seen contained CRB checks (Criminal Record Bureau), identification, photographs of workers and application forms. One carer’s file only contained one reference. The home has no interview format to record those interviews undertaken with prospective applicants as part of the homes recruitment process. The duty rota showed that adequate staff numbers are on duty to meet the needs of residents in this home. There are two waking night staff with a senior who can be contacted if required. The community nurse said that ‘ there are enough staff on duty ‘ I can always find someone to help me if required’. All care workers have been given and signed for The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults. The homes training record was seen which showed that the home has more than met the standard for 50 of staff to be trained to NVQ level 2 by 2005. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 15 Statutory training such as fire training, moving and handling, health and safety and first aid are undertaken at this home. Other training undertaken included; induction training when starting work at the home, the administration of medication and adult protection. One care worker demonstrated a clear understanding of his role and responsibilities. He confirmed that induction training is undertaken in the home and that he has NVQ level 2. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 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 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, 32, 33, 35 & 38 Records show that residents’ health and general welfare and safety are promoted. The home ensures that that the residents have the opportunity to voice their views and opinions. Feedback from questionnaires is not made available to residents/visitors. Receipts are not obtained from residents with regard to their pensions. Residents benefit from the positive leadership of the registered manager. EVIDENCE: The minutes of the last residents meeting held on the 09/08/05 was seen and showed that residents are empowered to voice their opinions and any concerns are addressed by the manager. Residents stated that the manager is very approachable and they see her in the home most days. One carer said that ‘you can relate to the manager and the deputy manager they are both very fair and have a lot of respect’. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 17 The manager has the Registered Managers Award in management and is currently finishing her NVQ level 4 in care. She has been a qualified nurse for twenty six years and worked in residential care for twenty two years. She was able to demonstrate during this inspection a sound knowledge base as to running a care home and was seen to have a caring attitude to the residents. The community nurse stated that the manager is approachable, caring and very professional. The home conducts an in-house quality assurance with questionnaires given to residents and relatives. On the day of the inspection nine residents questionnaires were seen but none were available from visitors. One resident commented that he had completed the homes questionnaire. The community nurse said that she had not seen the homes questionnaire and had not been approached to complete one. Two residents said that they could not remember any feedback regarding the outcomes. The home does not handle any of the residents monies. All payments are made either by Lincolnshire County Council or relatives, by direct debit or standing order. Personal allowances are kept by Residents themselves or their relatives. One resident stated that his daughter takes care of the money side of things. Bills accrued by residents are sent to their families for payment by the home. The home does collect residents pensions and the post office receipts were see. However, there are no receipts showing that the residents have received and signed for their pension. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills and emergency lighting checks have been undertaken. Care staff also receive fire training as part of the homes initial training and as a regular training event. Certificates were available showing that bath hoists had been serviced. All wheelchairs seen on the day of the inspection had footplates, which were in use. Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 18 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 2 x x 3 Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 19 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 OP9 Regulation 13(2) Requirement An accurate record of medication given to residents must be made ensuring that they are given the correct medication for that given day. The home must record and keep interview notes of all prospective new employees. The home must ensure that the required two references are obtained for all staff for the protection of residents. The home must carry out a quality assurance review at appropriate intervals and post the outcomes on the homes notice board for the information of residents and visitors. The home must obtained signatures from residents to show that residents have received their pension which is collected by the home. Timescale for action 25/01/06 2 3 OP29 OP29 19 19 (b) 25/01/05 25/01/06 4 OP33 24(a) 25/01/05 5 OP35 25 25/01/05 Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 20 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 Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Wispington House DS0000002480.V267337.R01.S.doc Version 5.0 Page 22 - 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!