Inspection on 04/09/06 for Wrottesley House

This inspection was carried out on 4th September 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

Wrottesley House 02/03/06

Wrottesley House 13/09/05

Wrottesley House 20/01/05

Wrottesley House 24/08/04

Wrottesley House 05/02/04

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Maple Lodge

Heathlands

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Ravenhurst

Bank House

Inspirations

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

CARE HOMES FOR OLDER PEOPLE Wrottesley House 46 Wrottesley Road Tettenhall Wolverhampton West Midlands WV6 8SF Lead Inspector Mr Ian Harris Key Unannounced Inspection 4th September 2006 08:00 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 Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 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. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wrottesley House Address 46 Wrottesley Road Tettenhall Wolverhampton West Midlands WV6 8SF 01902 744609 01902 744609/565522 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) Wrottesley House Ltd Anne Younger Care Home 18 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (18) of places Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All DE category service users must be accommodated on the ground floor. The agreed staffing levels are: 8am - 9pm Senior Carer 2 care staff Night staffing 2 waking care staff Care Manager hours are supernumerary Separate catering/domestic/laundry staff/activity organiser must be provided in addition to care hours. These are minimum staffing levels and must be increased in the event of any increase in dependency of service users accommodated. CSCI will continue to monitor the staffing levels and may require levels to be increased should CSCI feel that care needs are not being met. Date of last inspection 2nd March 2006 Brief Description of the Service: The home is situated in a residential area of Tettenhall about half of a mile from Tettenhall Green, and approximately three miles from Wolverhampton City Centre. The home is in close proximity to a main arterial road. The home was built over 26 years ago as a large, detached private dwelling and has since been adapted and extended to accommodate 18 service users. Six of the bedrooms have an en-suite facility. At the front of the premises there is a parking area together with flowerbeds and shrubs. The rear garden is well laid out with lawns and borders. There is one double bedroom and the remaining 16 bedrooms are single. The home has adequate bathrooms/showers and WCs. There are two lounges, a dining room, laundry room, an office and a staff room. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 5 Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5. hours. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 2 members of staff and 6 residents were spoken to. It was noted that the fees range between, £336 to £385. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. All the residents spoken to who could express themselves in a meaning full way expressed their satisfaction with the home and the care they receive. “ We are all very happy here we’ve got company” “ The staff have a lot to do” “ The staff look after us very well ” were some of the comments made. What the service does well: The home has a good key worker and supervision system in place. All the records in the home are maintained to a high standard. The home is registered for 18 older people, of which five older people can have Dementia. The home makes every effort to provide individuals with a good standard of care to meet the assessed needs by following a care plan. The home communicates well with the families/friends and representatives of the residents. The visitors’ book indicated a lot of activity. The residents’ spoken with said that they are happy and content with living in a homely and caring home. Observations during the inspection saw very attentive staff providing for the individual needs of the residents and assisting them with choices. A number of residents confirmed that the care staff are very kind and caring. The home has a very good staff- training programme, which all staff are involved in, this ensures that they continue to improving their knowledge and skills. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 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 Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 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): 3 and 6 The home has a satisfactory admissions procedure ensuring the individual needs of the residents are fully met. The home does not provide intermediate care they only provide short stay and introductory stays when the home has a vacancy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: All the residents who are funded by the Local Authority undergo a full multidisciplinary assessment prior to admission. The residents’ who are self funding are assessed by the Care Manager, using the homes assessment forms. Copies of the assessment, Care Plan and Reviews are on the residents’ files. The Four care plans inspected contained pre admission assessments of the persons needs, both from assessments by the home’s staff and other relevant professionals. All residents are offered a pre-admission visit to the home to meet the staff and residents and view the homw. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 10 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 Each resident has a comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are met. The systems for the administration of medication is good ensuring that residents needs are met. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: Six residents case files were inspected and all contained a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the Care Plans are being carried out and reviewed on a monthly basis. The case tracking demonstrated an effective review process together with the home’s ability to meet the Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 11 changing needs as they occur. The service users’ health is closely monitored and appropriate medical care services are sought as and when required. The Inspector spoke to six service users, who were able to have meaningful conversation. Generally the service users appeared to be content, comfortable and happy. Medication is administered, by means of a monitored dosage system and the system appears to be working very well. All the Staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which are used as guidance and are an integral part of the care staff induction programme. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Consultation with health care and social care professionals is carried out within the resident’s bedrooms. Visitors are able to meet residents in their bedrooms or the dining room on the ground floor offers that privacy when not being used. Residents were being treated with respect and staff were working both professionally and sensitively in meeting individual needs. Those residents and visitors spoken to were complimentary regarding the quality of their lives at the home and visiting health professionals praise the management and care standards there. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 12 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, 13, 14, and 15 The home provides a stimulating experience for the residents where they are encouraged to maintain their independence as much as possible The home provides a good range of social activities within and outside the home designed to the capabilities of the residents The meals in the home are good offering both choice and variety and also catering for special dietary needs The quality outcome in this area is excellent. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The routines and activities within the home are flexible and are built around the needs of the residents. There was also evidence to show staff do consult with the residents regarding the choice of meals and activities within the home. For residents with communication problem this is done by the keyworker. The key-worker also identifies interests that the residents wish to pursue. A regular programme of musical entertainment, Art and Craft sessions, board- games, keep fit and sing-a-longs is organised within the home. In regards to outings there has been a theatre trip and a canal boat trip. In the good weather residents are taken to Tettenhall village for shopping trips. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 13 It was apparent that the menu is changed to incorporate seasonal changes. Several residents told the Inspector that the food was nice, tasty and well prepared. The kitchen is well equipped, kept clean and tidy and has been redecorated since the last inspection. The catering staff are trained in food safety and hygiene matters. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 14 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): 16 and 18 The home has a satisfactory complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a good complaints procedure and all complaints are recorded in a, complains book. Residents and their families are given a copy, of the complaints procedure at admission and there are copies readily available in the home. It was noted that no complaints have been recorded since the last inspection. However it was noted, in the passed minor complaints have been dealt with quickly and appropriately. The home has good policies and procedures in place regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which includes, a Whistle-Blowing policy. These issues are also covered in the induction, N.V.Q. training, and internal training. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 15 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 and 26 The general standard of the environment is good providing service users with a homely, comfortable and safe place to live. The good standard of cleanliness reflects the ongoing cleaning schedule, which maintains this standard throughout the home. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home is long established and has great character and undergone alterations over the years in order to provide appropriate accommodation for 18 older people. The home is maintained to a high standard, as are the gardens and grounds and provides a very comfortable homely and safe atmosphere. All but one room is single and 11 have en-suite facilities. All the bedroom have been personalised with residents furniture, picture and photographs. There is a rolling programme of redecoration in place and it was Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 16 noted that two bedrooms, all the corridors have been redecorated and the first floor corridors and two bedrooms have been fitted with new carpet. The home is in compliance with the Fire Safety Officer’s requirements. It was noted that one of the bathrooms is unused and it would be an improvement to convert in into a wheelchair shower room, also there is water damage in room 14, when it has dried out the room should be re-decorated. During the inspection, the home was found to be clean, tidy and free from any unpleasant odour. The home has good policies and procedures in place regarding infection control. The Care Manager stated that the majority of staff has received training in infection control and they are made aware of the dangers of crossinfection. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 17 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, and 30 The home is well staffed with adequate numbers and skill mix of staff to meet the needs of the residents. The staff have a very good understanding of the resident’s support needs. The home has good policies and procedures regarding the recruitment of staff. There is a good training programme in place that ensures staff are competent to do their job. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The inspection of staff rotas and discussions with staff indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. It was noted that there have been minimal staff changes since the last inspection The home operates an acceptable recruitment procedure. On inspecting 6 staff files, there was evidence within them that all C.R.B. checks are being carried out. The Care Manager and staff are committed to developing their knowledge and skill through training. The home has a very good induction programme and training programme. In addition to the N.V.Q. 2, 3 and 4 training programme the Manager has completed the Registered Managers Award. Also all of the care staff have attended training courses on the following subjects. Safe Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 18 handling of medication, Risk assessment, Dementia care, Manual Handling, First- Aid, Infection control, Health and Safety at Work and Fire Prevention. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 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, 35, and 38 The home is a well managed, where service users interests and welfare is promoted. The home is operating a good system to assist residents with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. The home has good policies and procedures regarding Health and safety The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home is well managed by the Care Manager who is qualified in both practice and management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and is very supportive of both staff and residents. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 20 Observations made and discussions with residents’ and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and service users who could express themselves stated that they are happy to approach the Care Manager and staff with any problems they might have and were confident that they would be responded to There is a good staff supervision system in place and there is evidence that the staff have regular supervision meetings. The routines and activities within the home are flexible and built around the needs of the residents. There was also evidence to show that staff consult with the residents regarding the choice of meals. There are regular residents and relatives meetings where residents are consulted about menus and entertainment etc. All the Financial records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and the staff have received training on these issues. All recommendations and requirements made at the last inspections of the Fire Prevention Officer and Environmental Health Officer have been actioned. All safety equipment is regularly checked and well maintained. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 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 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 23 Requirement The registered person must ensure bedroom 14 is redecorated Timescale for action 01/11/06 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 OP19 Good Practice Recommendations The Registered Providers should consider providing a wheelchair shower room in the unsed bathroom. Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Wrottesley House DS0000037696.V297509.R01.S.doc Version 5.2 Page 24 - 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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