Inspection on 23/02/06 for Wrea Bank Residential Home

This inspection was carried out on 23rd February 2006.

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

Wrea Bank Residential Home 12/04/07

Wrea Bank Residential Home 20/06/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Wrea Bank Residential Home 20 Edge Lane Chorlton Manchester M21 9JF Lead Inspector John Oliver Unannounced Inspection 23rd February 2006 10:30 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 Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 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. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wrea Bank Residential Home Address 20 Edge Lane Chorlton Manchester M21 9JF 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) 0161 861 8444 0161 748 0124 Lymburn Limited Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 18 older people (OP) may be accommodated. The staffing arrangements at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum ` Care Staffing in Care Homes for Older People`. The home should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 15th November 2005 Date of last inspection Brief Description of the Service: Wrea Bank is a residential home providing accommodation and personal care only for up to 18 older people. Accommodation is provided in 12 single and 3 double bedrooms. Two of the single rooms have en-suite facilities. The home has two lounges, a dining room and a conservatory. Wrea Bank is located South of city centre with access to public transport links into Manchester City Centre, Chorlton and Stretford shopping centres. The home is set in large well maintained gardens which are accessible to reisidents. A large car park is available to the front of the building. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was made on the 23 February 2006 from 10:30am to 2pm. The inspection was carried out using the National Minimum Standards for Older People as the basis for the inspection. Since the last inspection carried out in November 2005 the home and been sold by the owner and registered manager at that time. The new owner, Ms Elena Ellis was not on the premises on the day of this inspection but the manager in charge, Anne-Marie Thompson was. Also on duty were a senior care assistant, two further care assistants and a cook. There were 18 residents living in the home and these staffing levels were adequate to meet their needs. The inspection process included a tour of some of the building, examination of some records, general observation, and discussion with 5 residents and staff on duty. Since the last inspection no complaints or significant incidents had been reported to or received by the Commission for Social Care Inspection. A number of requirements were made at the inspection carried out in November 2005 and these had been fully addressed at the time of this inspection. Residents spoke highly of the quality of care provided by the staff from the home. They were involved in the whole process of deciding if the home was right for them, being sure that it could meet their needs and, once in the home that the home could continue to meet those needs. Residents felt that the new owner and the new manager had made significant progress with the home and, as one resident said, “things are looking up”. Since the inspection in November 2005 the care planning format used in the home had been reviewed and updated by the new manager. Although this was a basic format in order to give staff chance to get used to them, it was a format that served the purpose of identifying the needs of the individual resident and how staff can best meet those needs. However, further work was needed to clarify some points within the plans. The home itself was generally well maintained, bright, warm and clean. It provided a homely, safe and happy environment for the residents and staff. Painting and decorating had taken place in a number of rooms and new carpets had also been laid. Most bedrooms seen were decorated to a good standard, with a couple requiring slight attention to bring them up to the same standard. Communal areas were very clean and tidy with homely touches such as pictures, plants and ornaments. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 6 Food was well presented and nutritious, with choices available to meet a variety of needs. Staff training had been recorded and staff had received supervision from the new manager. The office had been re-organised and had systems in place to ensure that the manager had appropriate facilities to manage the home effectively. What the service does well: What has improved since the last inspection? What they could do better: Updated care planning processes were in place but needed more information regarding what assistance is required to ensure a person remains as independent as possible. Although evidence was available to show that residents were now very much involved in the day-to-day issues in the home it is necessary to ensure that quality assurance of the service is measured using a quality monitoring Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 7 system. This will enable the management team of the home to measure the success in meeting the aims, objectives and statement of purpose of the home. 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. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 8 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 Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 9 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): 1,2 and 3 People who access the service receive clear, detailed and easy to understand information to enable them to make an informed choice about the home. An initial assessment is carried out for a prospective resident and financial arrangements are provided in the form of an individual contract. EVIDENCE: Copies of the Statement of Purpose and the Service User’s Guide for Wrea Bank had been reviewed and updated and offers information relating to all aspects of living in a home. The documentation was clear and comprehensive and provided a positive image of the home’s approach to caring. The manager had developed a written contract/statement of terms and conditions and this had been supplied to all residents currently living in Wrea Bank. However, this document did not include all the elements required within 2.2 of the National Minimum Standards e.g. rooms to be occupied, fees payable and by whom, overall care and services (including food) covered by the and any additional services to be paid for over and above those included in the fees. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 10 Documentation evidenced that initial assessments were carried out prior to admission and discussions with residents confirmed that they had been given opportunity to visit the home before choosing to stay. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 11 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): 7,8.9 and 10 Care planning processes within Wrea Bank included all aspects of health, personal and social care but needed a little more information to be clear about what assistance is offered to the individual. The administration and handling of medication was well managed and documented within the home. EVIDENCE: It was evident that substantial efforts had been made to improve the care planning processes carried out by staff in the home. The manager had developed individual care plans that were based on the activities of daily living. However, statements such as “assistance required” are too open to interpretation by the individual carer. Where assistance is to be offered to the resident that assistance must be clearly defined e.g. requires the assistance of one carer to pass ……… her clothes when dressing. Resident’s had access to a range of health care specialists and a separate record of visits from other professionals, such as GP, chiropodist, optician and physiotherapists was kept. There was also a selection of pressure relieving equipment available in the home. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 12 No resident within the Home was self-medicating at the time of the inspection. There was a safe system for the receipt, storage, administration and disposal of medicines. All documentation was checked and no errors were noted. Residents confirmed that they were treated politely and that their privacy was respected. During the inspection staff were observed addressing residents in a respectful manner and knocking on doors before entering residents rooms. Residents were also observed going to their rooms without being questioned as to why. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 and 15 Residents had a range of recreational opportunities available within the home and were supported and enabled to fulfil their individual wishes and choices. The food was of a high standard, varied and nutritious. EVIDENCE: One member of the care staff team had specific responsibility for offering a range of recreational activities to residents. These included art and crafts, games, exercise to music, reading and writing etc. A focal point in the hallway of the home was a large notice board displaying information and work relating to activities carried out. Information was also contained in a large file about what each resident liked to do and to be involved in. This information was updated on a monthly basis to show what type of activities each resident had been involved in during that particular month. The dining room was pleasant and laid out well, allowing access for those residents in wheelchairs. The owner of the home is also the cook and from what residents said about the high standard of meals, both she and the rest of the staff knew the likes and dislikes of each resident. The food was well presented, wholesome and nutritious. Throughout lunch, staff were noted Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 14 offering choices and providing assistance to those residents who needed help. This was carried out in an unhurried manner and residents were not rushed to finish their meals. The chairperson and secretary of the residents committee had spoken with every resident to ask what food they liked/disliked and what they wanted. Records were kept by the chairperson and information shared with the staff. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 15 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): These standards were not inspected on this occasion. EVIDENCE: Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24 and 26 The home was generally well maintained throughout and some recent redecoration had been carried out. The internal environment was spacious and bright although some attention was needed to some areas of the home. EVIDENCE: A partial tour of the home included a number of individual residents’ bedrooms and communal areas such as the lounges and the dining room. There was evidence of an ongoing commitment to continue to improve all areas of the home, especially those areas used by the residents. A number of areas of the home had recently been redecorated/repainted and a number of new carpets laid, this helped to retain the ‘homely’ atmosphere. Residents rooms contained many of their own possessions and one resident said “I won’t be long I’m just going to my flat”, indicating that the bedrooms were seen very much as private space. Some furniture was showing signs of wear and tear and must be replaced as an on going part of the refurbishment programme for the home. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 17 The home was found to be clean and free from any offensive odours (except for one bedroom *) and laundry facilities were appropriate for their intended purpose. * The carpet in this bedroom was odorous even though evidence indicated that it had been shampooed regularly. This carpet must be replaced. The tiling in the bathroom near room 12 needed re-grouting to prevent tiles falling off. This will ensure residents are not at risk when using this bathroom. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 18 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 and 30 The number of staff within the home was sufficient to meet the needs of the residents and had the relevant skills and training to be competent in their job role. EVIDENCE: From observation of the staff on duty and discussion with the residents and the manager it was evidenced that there were satisfactory levels of skilled staff employed with the home to meet residents needs. Rostered working patterns also evidenced that relevant numbers of appropriate staff were on duty throughout any 24 hour period and that the manager was mainly rota free. Individual training records were seen and a variety of both internal and external training had been provided for all staff groups. Also, at the time of the inspection, the manager was in the process of reviewing the training needs of all individual staff team members. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 19 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): 31,33 and 35 The home is managed by a person who is able to demonstrate her competence to do so and good systems were in place to safeguard resident’s finances, their health, safety and welfare. No quality assurance systems were in place. EVIDENCE: From discussions with residents and staff on duty, it was clear that the home was being run in the best interests of the residents. Regular resident meetings were taking place in which the residents take the lead with records being kept. However, there were no specific quality assurance mechanisms in place to evidence and measure the success in meeting the aims, objectives and statement of purpose of the home. The manager said that she intended developing questionnaires that could be sent to residents, families and other interested parties and would then be publishing the results. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 20 Random samples of residents personal allowance records were seen. Each person had an individual record and whenever transactions took place two member of staff signed at the conclusion of the process. Receipts were in place for all purchases made. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 21 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 3 2 3 X X 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 4 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X X Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No 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 OP2 Regulation 5 Requirement Each resident must be provided with a statement of terms and conditions or contract (if purchasing their care privately) containing those details described in 2.2 of the National Minimum Standards. The tiling in the bathroom near room 12 must be thoroughly checked and tiles re-grouted where necessary. An audit of the furnishings in bedrooms must be undertaken and replacement furnishings provided where necessary as a matter of priority with records kept. The carpet in the bedroom identified to the manager as being odorous must be replaced with appropriate floor covering. The home must develop an appropriate quality assurance and quality monitoring system, based on seeking the views of residents in order to measure the success of meeting the aims, objectives and statement of purpose of the home. DS0000064866.V279306.R01.S.doc Timescale for action 28/04/06 2 OP19 13 & 23 28/04/06 3 OP19 13 29/09/06 4 OP26 13 28/04/06 5 OP33 24 30/06/06 Wrea Bank Residential Home Version 5.1 Page 23 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 OP7 Good Practice Recommendations It is recommended that statements made within care plans such as “assistance required” be avoided. Where assistance is to be offered/given it must be very clear how and by whom that assistance is offered/given. Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Wrea Bank Residential Home DS0000064866.V279306.R01.S.doc Version 5.1 Page 25 - 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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