Inspection on 06/06/05 for Wisteria House

This inspection was carried out on 6th June 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

Wisteria House 06/10/09

Wisteria House 13/04/08

Wisteria House 18/05/07

Wisteria House 26/05/06

Wisteria House 06/12/05

Wisteria House 24/03/05

Wisteria House 13/01/05

Wisteria House 26/02/04

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 Wisteria House 9 Ayston Road Uppingham Oakham Rutland LE15 9RL Lead Inspector Rajshree Mistry Unannounced 6 June 2005 at 10.20am 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. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wisteria House Address 9 Ayston Road Uppingham Road Oakham Rutland LE15 9RL 01572 822313 01572 822313 None Mr G Kirk Mrs J Kirk Mr G Kirk Care Home 12 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) Category(ies) of OP - Older People - 12 registration, with number of places Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registration. Date of last inspection 24th March 2005 Brief Description of the Service: Wisteria House is a care home registered to accommodate up to 12 older people. The home is a small family-run home. It is a detached house built in 1880 and retains many original features. There is car parking area to the side of the home. Wisteria House is situated in the market town of Uppingham, close to shops and other local amenities. The home has twelve single bedrooms, the majority are spacious and nine are over 20 square metres in size. The upper floors can be accessed by the stairs or the passenger lift located to the centre of the home. There is a large open plan lounge/dining room which overlooks a private patio garden. All areas of the home is accessible to people using walking aids. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 10.20am on 6th June 2005 and lasted for 4 hours. The method of inspection consisted of a tour of the premises, examination of the health and safety records for the home, four residents were spoken with and observed and the Inspector specifically looked at their lifestyle at the home and how their care needs were met. Individual plans of care and relevant care records were examined. Staff were observed how they delivered the care needs of the residents. Towards the latter part of the inspection visit, time was spent with the owner/manager of the home discussing some of the findings, information received and observations made. What the service does well: What has improved since the last inspection? Since the last inspection the home has recruited two experienced staff, of which one is a senior carer. The statement of purpose and the information provided to residents has been updated and reflect the changes in the home. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 Page 6 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. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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 Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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 and 5 Information about the home and the facilities is made available at the earliest opportunity. The admission process is well managed and robust and meets the needs of residents. EVIDENCE: The statement of purpose and residents information has been updated and now includes the required information for long or short term stays. The information is clear and made available to the prospective residents and their family at the first meeting or opportunity. The admission procedure is good in that the assessment of individuals’ are carried out by the home’s manager and senior. Four residents care files examined contained information detailing their preferred choice of lifestyle, risks identified and how to maintain and promote independence safely. The home encourages residents’ and their relatives to visit. A trial period of stay is offered to all prospective residents and to discuss how individual care needs can be met. Two residents spoken with were on a trial visit with a view to making a decision on the permanency of the stay. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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 and 9 Residents’ health and social care needs met. Care provided is personalised. Management of medication in the home is robust and secure. EVIDENCE: Four residents care files were examined, which contained a plan of care tailored to meet the individual care needs, instructing staff how to deliver the care and are reviewed regularly. Risks identified through the health/social care professionals and specific assessments were managed to promote and maintain the individual independence. Residents that spoke to the Inspecting Officer indicated that they were consulted regularly. Staff on duty that spoke to the Inspecting Officer confirmed care plans are reviewed every two or three months dependent on the wellbeing of the resident and with their involvement. Medication is stored in a locked medication trolley that is secured to the wall. Staff are trained to administer medication. Receipt, storage, administration of medication, returns and recording was seen and is considered to be accurate. The management of controlled medication is robust, auditable and safe. The Pharmacist is available for advice and inspects the medication and procedures annually. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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 and 15 Residents’ needs are met socially, emotionally and culturally. The home offers a good choice of meals to suit any special dietary needs. EVIDENCE: Residents care plans indicate social and leisure interest and links with family and friends. On the day of the inspection there were no planned activities. Several residents have their own newspapers delivered daily. The home has a visiting entertainer/singer. One resident said that she has her own telephone and often has her family ring. Staff indicated that on some evening they play music, which some residents enjoyed, although felt there was not enough individual activities on a daily basis, such as armchair exercise, arts and craft or bingo. Staff are looking to promote and introduce activities suited to residents interests. Residents can access the local church and have Holy Communion at the home every 6 weeks. The home has recruited a cook since the last inspection and is due to commence employment in July. The owner prepares the meals at the home and is trained in food and hygiene. Meals are varied and nutritionally balanced. On the day of the inspection there was a choice of liver and onions or omelette with vegetables and fresh fruit flan with cream. Meals are served in the dining room. One resident said, “I choose to eat in my own room as I eat slowly”. Residents spoken with were satisfied with the choice meals and Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 Page 11 stated, meals are offered to their visiting relatives. Drinks and snacks are available throughout the day. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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 and 18 Complaints system is good, clear and accessible to all. Adult protection procedures are in place. EVIDENCE: There is a robust complaints procedure that is displayed at the entrance of the home and included in the information pack. All residents receive a copy of the complaints procedure at the point of moving to the home, with details of the Regulating Authority’s contact information. Residents’ commented that they are very comfortable discussing any concerns with the staff at the home. Reported concerns are documented in the residents’ care files. Staff spoken with were aware and had a good understanding the procedure to follow in accordance with adult protection issues and whistle blowing. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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, 20, 21, 22, 23 and 24 The standard of accommodation offered meets the residents needs and is satisfactory. EVIDENCE: A tour of the premises found the all areas to be clean. There are handrails throughout the home and a passenger lift located to the centre of the home. The home is well maintained and suited to the needs of the residents. All communal areas and bedrooms are decorated and furnished to a standard that creates a comfortable and homely environment. Residents are able to move freely around the home. Entry to the home and the private garden is level entry. One resident goes out to the bowls club on her scooter daily. Bathrooms and toilet facilities are located near to all the bedrooms. Two single bedrooms have their own en-suite facilities. One resident that spoke to the Inspecting Officer found that she preferred the en-suite facilities that promoted her to stay independent. The home has specialist equipment such as the bath hoist and a mini oxford hoist to transfer residents. A number of residents’ Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 Page 14 bedrooms on the upper floors and ground floor were viewed, and found to be comfortable and clean. Bedrooms are personalised and decorated with residents’ own personal possessions such as pictures and small items of furniture to creating a homely room. Residents spoken with indicated that they felt safe and comfortable at the home. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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) 27, 28 and 29 Residents’ needs are well met by the number and skill mix of staff. Staff are employed in sufficient numbers to meet the resident needs. EVIDENCE: Staffing levels were sufficient to meet the residents’ needs at the time of the inspection. Residents said they felt the staff were caring and responded to requests and felt safe in the hands of the staff. In addition to the Registered Manager/Owner, there is a team of ten staff including senior carers. Certificates of training completed by staff were displayed in the Manager’s Office. These included; food and hygiene, moving and handling, safe administration of medication and first aid. The staff files for two new staff were examined, and found to contain evidence that the recruitment procedures were followed. The home has interviewed and appointed a new cook, subject to satisfactory references and checks. Discussion with the home’s Manager regarding checks on new staff indicated that the procedures did not include the protection of vulnerable adult (pova) check. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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) 35, 37 and 38 The residents’ finances are safeguarded with clear a policy. The health, safety and welfare of residents and staff are well promoted and protected. EVIDENCE: Residents manage their own finances with the support of their family. Residents have access to lockable facilities in their rooms and can have a key to their room. The homes’ policy is that staff do not manage or take responsibility to support residents to manage their finances. The Fire Officer inspected the home in April 2005 and requirements made have been met. The Fire Risk Assessment was available and had been reviewed; generic risk assessments are in place, along with individual risk assessments for residents. During the tour of the home fire exits were clearly marked and were not obstructed. Records of routine testing of fire safety equipment, lighting, nurse call bell system and specialist equipment such as the hoists, were in good order and health and safety issues were well documented. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 x x STAFFING Standard No Score 27 3 28 3 29 3 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 3 x 3 3 Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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 Regulation Requirement Timescale for action 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. 2. Refer to Standard OP15 OP29 Good Practice Recommendations The home should look to offer more social, recreational and leisure activities tailored to the residents interest on a regular basis. It is strongly recommended that the Registered Manager/Owner ensures that new staff recruited have POVA first checks in addition to the enhanced CRB checks. Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection First Floor Newland House Campbell Square Northampton NN1 3EB 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 Wisteria House DC51 C08 S6467 Wisteria House V233947 060605 Stage 4.doc Version 1.30 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. 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!