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Inspection on 22/08/05 for Wispington House

Also see our care home review for Wispington House for more information

This inspection was carried out on 22nd 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This home provides a pleasant homely and clean environment for residents. Those residents spoken to expressed their satisfaction about all aspects of the care provided. There is clear and consistent care planning and individual files are well laid out. The residents said that the home provides a varied menu, the food is very good and they have a choice of what they want to eat. Information relating to service user`s dietary needs are available to the cook so that she is aware of service users likes and dislikes and any allergies.

What has improved since the last inspection?

The home has taken action to address a number of issues since the last inspection. All rooms now have a lockable safe in which residents can keep their valuables or medication if they self-medicate. Most of the rooms now have locks on doors with residents being able to have a key if they so wish.

What the care home could do better:

The home must ensure that appropriate records are kept of all accidents to residents. The homes policies and procedures for administration of medication must be followed to ensure that appropriate records are kept at the time when residents take their medication or otherwise.

CARE HOMES FOR OLDER PEOPLE Wispington House Mill Lane Saxilby Lincoln LN1 2QD Lead Inspector Doug Tunmore Unannounced Monday, 22 August 2005 09:00 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. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wispington House Address Mill Lane Saxilby Lincoln LN1 2QD 01522 703012 01522 704547 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) Mr T W Brock Mrs H M Brock Mr T W Brock & Mrs H M Brock Care Home 26 Category(ies) of Old Age (OP) - 26 registration, with number of places Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old Age, not falling within any other category (OP) (26) 2. The maximum number of service users to be accommodated is 26. Date of last inspection 26 January 2005 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 proprieters 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 C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.00 am and was carried out as the first of two statutory inspections for 2005/2006. The main method of inspection used was called case tracking, which involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observations of care practice. A partial tour of the premises took place. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that appropriate records are kept of all accidents to residents. The homes policies and procedures for administration of medication must be followed to ensure that appropriate records are kept at the time when residents take their medication or otherwise. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 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 C53 CO4 S2480 Wispington House V245452 220805 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 Wispington House C53 CO4 S2480 Wispington House V245452 220805 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) 3 Residents are admitted into the home only after a full needs assessment has been carried out by the home. EVIDENCE: The home has a detailed admission procedure, which identifies the needs of residents coming into the home. One resident said that she visited the home with her family prior to admission. Another residents said that she had day care at this home prior to admission and an assessment was carried out during this time. Files seen showed that assessments of residents needs had been undertaken prior to admission and residents had been written to confirming that the home could meet their needs. One care worker spoken to knew about the care needs of residents and was aware of the homes assessment of need procedures. Wispington House C53 CO4 S2480 Wispington House V245452 220805 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) 7,8,9, & 10 There is good care planning in this home, which helps ensure that the general health and welfare of residents is addressed. Procedures relating to the delivery of personal care are sufficient. An accurate record of accidents to residents and medication given to residents is not kept. EVIDENCE: All residents have detailed care plans, which describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments. Care plans also evidenced that they have been reviewed on a regular basis or sooner depending on changing needs. Care plans seen were signed by the residents. Both residents confirmed that they had signed their care plan and the home meets their care needs. Both residents confirmed that if they required help ‘I use the call bell and they answer it very quickly’. Both residents stated that the ‘staff here are very good and this is a nice place to be in’. Residents also confirmed that they felt their care needs were met at this home. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 Page 10 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 abrasions to a resident had not been recorded appropriately in the accident book. Files seen confirmed that health care professionals visit the home when required by the residents. The carer was aware of the intimate care needs of residents and gave a detailed account of her duties as a ‘key worker’ responsible for named residents care needs. She also confirmed that she had undertaken National Vocational Training, which addressed the issue of giving intimate care to residents. Both residents said that staff are mindful of their privacy and dignity when carrying out their intimate care needs. Both resident commented that ‘no carer comes into this room without knocking and asking ‘may I come in’. The pharmacist inspected the home on the 15/06/05 and recorded that storage and administration records of medication is carried out appropriately. However, two signatures were missing from the medication sheets, which should indicate whether medication had been given or not. This inspection also found that staff had not signed for medication given to residents on the day of the inspection. One resident looks after her own medication and a lockable facility 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. This resident confirmed that a member of staff always supervises her when she takes her medication. Files showed that GPs and community nurses visit the home to attend to the health care needs of residents. Both residents confirmed that they kept their own GP when they were admitted to this home and are taken to the surgery or the hospital by the home when required. As part of the inspection process the Commission sends to the home residents and relatives and friends comment cards. Five relatives/friends comment cards were returned with positive comments about the care provided at this home. Wispington House C53 CO4 S2480 Wispington House V245452 220805 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) 13,14, & 15 Relatives and friends of residents are made welcome in this home. Meals are well managed and reflect resident’s likes and dislikes. 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 inspector joined two residents for lunch and found the meal provided to be hot and delicious. Residents said that the food is plentiful here and choice is available from the main meal being served. The minutes of the residents meeting dated 09/08/05 was held after a number of verbal complaints were made by residents that the food on occasion was served cold. The providers assured residents this would be addressed. This inspection found that residents were happy with the outcome of their comments made to the owners and that the providers were monitoring to ensure high standards were maintained. The cook was spoken to and was aware of the likes and dislikes of residents, as well as specialised diets required by individual residents. The cook has undertaken basic food hygiene training and City and Guilds in catering. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 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 standard(s) 16 & 18 The home takes the issue of addressing complaints very seriously and has a comprehensive complaints policy. Staff are aware of how to respond to a complaint or an adult protection allegation. EVIDENCE: The home has given copies of the service users guide to residents, which contains the homes complaint procedures. One complaint made by residents concerning food at the home had been addressed with the minutes of the last residents meeting recording that residents commented that ‘it was nice to have an informal meeting where they were encouraged to speak up’. Two residents commented that if they had any concerns they would see the manager. The relatives/friends comment cards seen showed that visitors were aware of the homes complaints procedure. The carer commented that she was aware of the homes ‘whistle blowing policy’ and spoke knowledgably about abusive practices and what action she would take if this came to her attention. Training has been arranged for care workers on adult protection training on 28/09/05. Both residents seen said that they felt safe in the home and care staff were very kind to them. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 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 standard(s) 19 The home is well maintained, the standard of the environment and its facilities are appropriate to the needs of residents. EVIDENCE: The home has a maintenance record which records work that has been undertaken since the last inspection. This has included 20 bedrooms decorated door locks fitted, new bath hoist installed, care park tarmaced, safes installed in all rooms and carpets fitted where required. Residents commented that they like their rooms and are able to personalise them with their own possessions. One resident commented that ‘she goes for a walk through the grounds and into the village every day. Both said that they are very happy with the accommodation. Residents’ files showed that risk assessments were available which highlighted risks to residents posed by the homes environment and action to be taken. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 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 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) 28 The home encourages all staff to attain National Vocational training in the care of older people. EVIDENCE: The homes staff training profile was seen and showed that 6 care workers have attained a NVQ (National Vocational Qualifications) level 2. Two care workers are currently completing NVQ level 2. Two more workers are awaiting to start NVQ training. One worker has completed level 3 and is currently undertaken level 4 training with another carer working towards completing level 3. The care workers spoken to by the inspector confirmed that she has NVQ level 2 and is working towards completing level 3. She also said that the providers are keen to get all staff trained to NVQ level 2. The manager hopes to have at least 50 of staff trained by 2006. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 Page 15 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) These outcomes were not looked at. EVIDENCE: Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x x STAFFING Standard No Score 27 x 28 2 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 3 x x x x x x x x Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 Page 17 yes 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 17(a) Requirement It is a requirement that all accidents to residents must be recorded appropriately in line with the homes policies and procedures. (Timescale of 16/09/04 not met.) An accurate record of medication given to residents must be made at the time when medication is administered. Timescale for action 15th December 2005 2. 9 13(2) 15th December 2005 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 28 Good Practice Recommendations It is recommended that this establishment must have 50 of the workforce trained to NVQ level 2. Wispington House C53 CO4 S2480 Wispington House V245452 220805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 C53 CO4 S2480 Wispington House V245452 220805 Stage 4.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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