Inspection on 16/12/08 for Wychdene

This inspection was carried out on 16th December 2008.

CSCI found this care home to be providing an Good service.

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

Wychdene 20/07/09

Wychdene 19/02/08

Wychdene 26/02/07

Wychdene 13/07/06

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/06/2011.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wychdene 19 Callis Court Road Broadstairs Kent CT10 3AF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Geoffrey Senior     Date: 1 6 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Wychdene 19 Callis Court Road Broadstairs Kent CT10 3AF 01843865282 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mylan Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 28 Number of places (if applicable): Under 65 Over 65 28 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 28 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Date of last inspection Brief description of the care home Wychdene residential home is owned by a private company. It is a large detached property situated close to the town of Broadstairs. At the present time only one of the double bedrooms is being used as a double and all other bedrooms are currently being used as singles. Seven of the bedrooms have ensuite facilities. The home has a lift facility. The home is located in close proximity to local amenities. Wychdene is registered to provide personal care and support for up to 28 older people, who require varying degrees of assistance. The home has a new manager who as yet, is not Care Homes for Older People Page 4 of 23 Brief description of the care home registered with the Commission. The manager confirmed that currently fees range from #320 to #500. Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: An unannounced visit to the home was undertaken on the 16/12/08 as part of the Key Inspection of Wychdene. The visit lasted for around 5 hours. Discussions were held with the Manager, staff and residents and a tour of the premises was undertaken. A range of documentation was viewed. An Annual Quality Assurance Assessment, AQAA, was completed by the Manager and sent to us prior to the visit. Information contained within that document was considered in the preparation of this report. Care Homes for Older People Page 6 of 23 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users may visit the home and are provided with comprehensive information to help them make a decision about moving in.Assessments are undertaken to ensure that the Home can support the service users needs Evidence: Staff spoken to described the admission process and emphasised the importance of ensuring that the service users needs are fully assessed and can be appropriately supported by the home. Prospective service users would be encouraged to visit the home prior to admission and use the opportunity to meet and spend time with the existing service users and staff, view the accommodation and find out about the routine and lifestyle they could expect to experience at Wychdene. Assessments, undertaken before and after admission contribute to the care planning process. Input is welcomed from the service users and families and from relevant agencies and professionals. Written information relating to the service offered by the home is made Care Homes for Older People Page 9 of 23 Evidence: available to all interested parties. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care planning system is clear and provides the staff with information they need to support the service users needs. Arrangements are in place to ensure service users medication needs are met. Evidence: The home has developed well-structured and informative service user files. The needs of each individual are clearly identified as well as the actions required by staff to support residents. There is a key worker system in place and they have been working with residents to develop awareness of service users life history,current needs and personal preferences. All care plans are reviewed on a regular basis and handovers and team meetings are used to pool ideas and develop support plans further. The home ensures that healthcare issues are regularly reviewed and addressed. The medication records and storage facilities were viewed, all of which are adequate for the needs of the home. Medication Administration records were clear, accurate and up to date. The home has policies and procedures in place and staff administering medication are provided with appropriate training. Service users spoken with felt their Care Homes for Older People Page 11 of 23 Evidence: privacy was respected and staff were sensitive when they needed help with personal care. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a range of in house and community activities and entertainments based on personal needs, wishes and interests. Family and friends are welcomed into the home and contact with the local community is maintained. Service users enjoy a varied and balanced menu. Evidence: Staff in the home have worked positively with residents to establish interests, likes and dislikes. They are supported by the home to provide a range of individual and group activities and events. Service users may join in or decline by choice. There are no strict infexible routines and service users may live at the pace they choose. Family and friends are welcomed into the home to visit service users and staff keep in good contact with significant others to update them on progress and changes. Service users commented on the the catering arrangements and apart from a recent weekend shortage of sugar were very satisfied with the quality,quantity and choice of meals. Staff are aware of individual likes and dislikes and cater accordingly whilst maintaining a reasonably varied and balanced diet. Care Homes for Older People Page 13 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems designed to protect vulnerable people from the risk of harm are in place. Written information relating to complaints and concerns is available to interested parties. Evidence: The manager of the home is endeavouring to establish an open culture which actively encourages discussion about concerns and for them to be shared on a daily basis. She listens to suggestions about the service and tries to use them in a positive manner, learning from any possible past mistakes. Staff know how important it is to take resident and relatives complaints and concerns seriously. The complaints procedure is clear and open and readily available to all. Service users are aware of their right to complain and that written information is availabe should anyone wish to raise any issues. Staff indicated an awareness of their responsibilities in protecting vulnerable people and have attended appropriate training days. The recruitment process includes undertaking appropriate background and Criminal Records Bureau checks on all potential staff prior to the appointment. Care Homes for Older People Page 14 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable and varied environment in which to work and live. Evidence: The premises are comfortably furnished and well decorated. It is bright and homely and there is an adequate amount of communal space with a choice of lounge and dining areas. Service users rooms are decorated and furnished according to choice and have personal items on display. The garden is accessible and reportedly well used. Service users spoken with were very happy with their surroundings. Personal and communal space meets their needs and they can choose to be in the large or small lounge areas or remain in their room. One spoken with chose her room and when a larger one became available was happy to remain as she was settled. She chose the decor and was able to furnish and decorate with her own belongongs. Privacy is respected. There is a programme of planned refurbish ment and development of the home, some of which has been attained. New flooring was being laid in the kitchen and staff area during the inspection visit. evidence of change of layout. alternative access to the laundry is now in place insted of via food serving area. There is better security on back doorwhich is now a fire door for emergency exit only rather than unsupervised access to the rear of the house. Rooms seen contained appropriate and adequate furniture and appeared to be in good state of repair and decor. Information received prior to the visit indicated that maintenance and service checks Care Homes for Older People Page 15 of 23 Evidence: are satisfactory and up to date. CCTV cameras are situated in areas mainly used by staff only and in the car park. The Manager confirmed that they are for security purposes only and do not intrude on the daily life of service users. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported by sufficient numbers of well-informed staff.There is a robust recruitment and staff checking procedure before commencement of duties. Evidence: Staff clearly knew the service users well and how to respond appropriately to them individually. There was a good deal of friendly, non patronising banter observed. The home benefits from a blend of youth and experience with a senior member on duty at all times. There are reportedly, usually four care staff working during the day with three during the evening and staff on the premises overnight. These are supported during the day by the Manager and ancillary staff such as a cook, two cleaners and a laundry worker. The Home offers a staff development programme. Staff are supported through the induction process which is then followed by mandatory and service specific training. We were told that there are 24 care staff, 18 have completed Skills for Care induction standards. 11 have attained NVQ to at least level 2 and the remainder have enrolled at level 2. All senior carers have attained level 3. The head of care who acts in a supervisory floor level role has a higher education social care qualification. Staff records seen indicated a thorough recruitment procedure. This includes obtaining Care Homes for Older People Page 17 of 23 Evidence: satisfactory references and Criminal Record Bureau checks. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and staff are commited to ensuring the home is run in the best interests of the service users. The health,safety and welfare of all is promotedand protected. Evidence: The manager presents as a well-motivated and informed individual who has worked hard to develop an open and inclusive atmosphere in the home. She has completed RMA and NVQ 4 in Care and is keen to undertake further courses as well as promoting appropriate and relevant training for her staff. She is currently seeking registration as Manager and has submitted an application. The manager organises her work so that she can spend a reasonable amount of time at floor level as well as the completion of administrative and supervisory tasks. The home is visited on a regular basis by at least one of the providers. They and the manager are clearly committed to maintaining standards and seeking ways to improve Care Homes for Older People Page 19 of 23 Evidence: the service. The provider is reminded of the requirement to include in the reports, prepared following the Regulation 26 visits, evidence of interaction with, and seeking view of, the service users The AQAA gave limited information relating to Quality Assurance systems or outcomes. It was reported however that Residents and staff are regularly consulted and have ample opportunity to contribute to the decision making process. The staff feel that the home is run in the best interests of the people who live there. The health, safety and welfare of all is promoted and protected. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 33 Reports prepared following monthly Regulation 26 visits would benefit from clear evidence that service user views are actively sought and form part of the homes QA system. Care Homes for Older People Page 22 of 23 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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!