Inspection on 18/04/07 for Wymeswold Court

This inspection was carried out on 18th April 2007.

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

Wymeswold Court 02/04/09

Wymeswold Court 08/12/05

Wymeswold Court 18/05/05

Wymeswold Court 24/11/04

Wymeswold Court 23/06/04

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 Wymeswold Court London Lane Wymeswold Loughborough Leicestershire LE12 6UB Lead Inspector Debbie Williams Key Unannounced Inspection 10:00 18th of April 2007 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 Wymeswold Court DS0000039563.V333791.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. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wymeswold Court Address London Lane Wymeswold Loughborough Leicestershire LE12 6UB 01509 881615 01509 881635 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) www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited Position Vacant Care Home 40 Category(ies) of Dementia (20), Dementia - over 65 years of age registration, with number (20), Old age, not falling within any other of places category (40), Physical disability over 65 years of age (40) Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Wymeswold Court Care Home is registered to provide personal care to male and female service users who fall within the following categories :Physical Disability over the age of 65 years PD(E) 40 Old Age (OP) 40 Dementia over the age of 65 years (DE(E)) 20 Dementia (DE) 20 No one under 60 years of age who falls within the category DE to be accommodated at Wymeswold Court No person to be accommodated at Wymeswold Court under the categories DE or DE(E) when 20 persons in total of these categories/combined categories are already residing in the home No person falling within the PD(E) category should be accommodated at Wymeswold Court when 40 persons who fall within the PD(E) category are already residing at the home The maximum number of persons to be accommodated at Wymeswold Court is 40 8th December 2005 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Wymeswold Court is a care home registered to provide personal care and accommodation for forty older persons. The home is owned by Southern Cross Limited. The premises are located about five miles from the town centre of Loughborough close to shops, pubs, the post office and other amenities. The home is easily accessible by private transport. The premise was built as a sheltered housing for older persons but prior to completion was converted and registered as a nursing home. The premise was later registered to provide residential care only. The premises consist of two floors and access to both floors is accessible by use of the passenger lift or stairs. A number of facilities for example a choice of lounge and dining areas can be found on both floors. The premise has thirty-eight single bedrooms, six with en-suite facilities and one double room with en-suite facility. The premise has a courtyard with a large pond to the rear of the building, which is well maintained. The garden is accessible to all service users residing in the home. At the time of this inspection the weekly fees ranged from £269 to £510 per week. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The main method of inspection was ‘case tracking’ which meant selecting three residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. Information provided within a pre inspection questionnaire and residents and relatives surveys which were sent out prior to this inspection was also used to gather evidence for this inspection. This inspection was unannounced, staff and on duty were helpful and professional at all times. The inspection was positive and good outcomes for residents were achieved in all areas. Two requirements and one recommendation were made. What the service does well: What has improved since the last inspection? Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 6 There were no requirements or recommendations made at 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. The summary of this inspection report can be made available in other formats on request. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with the information they need to make an informed choice about where they live and assessment procedures and records are mostly comprehensive. EVIDENCE: Care records for three residents were inspected; assessment records were mostly comprehensive and included risk assessments. Personal preferences and social histories were also recorded within care records. The needs of one resident were not fully assessed within their care records. A needs assessment is carried out prior to all admissions, this is carried out by senior care staff. Residents spoken with said they had been given the opportunity to visit the home prior to moving into the home. Prospective residents are provided with a service users guide prior to admission; this is also available on audio cassette. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 9 Wymeswold Court DS0000039563.V333791.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and personal care needs are met by well-trained staff and in the main, good communication of residents care needs. EVIDENCE: Care plans for three residents were inspected. One resident had a short stay care plan but this only included a very basic assessment and risk assessments, there was no actual plan of care completed despite the resident having been in the home for over a week and having very complex needs which required careful management. The two remaining care plans were comprehensive and gave clear instruction for staff to meet the personal support needs, healthcare needs and psychological needs identified. Evidence was seen of residents or their relatives being involved in the care planning process, a review is held every six months and relatives are invited to participate. Evidence was seen of residents having access to healthcare services such as GP’s, community Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 11 nurses. A community nurse visiting during this inspection was spoken with briefly and commented that the staff were always helpful and followed any advice or instructions that were made. Risk assessments were in place to manage the risk of pressure sores and the appropriate equipment was being provided. Medication administration records and storage areas were inspected and found in good order. Medication is administered by senior care staff and training and assessment is undertaken in this area. Interaction observed between residents and staff appeared positive and respectful. Residents spoken with said that staff were helpful and treated them with respect. One relative spoken with commented that the ‘staff are lovely’ and was happy with the care provide to her relative. Comment cards received from residents and relatives were positive and gave particular praise to the staff. Maintaining privacy and dignity is addressed within staff induction programmes. Wymeswold Court DS0000039563.V333791.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities appear to meet the preferences and expectations of residents accommodated but could be improved with an individual risk assessment for each resident regarding locking bedroom doors. EVIDENCE: One resident spoken with said they were able to make choices as to how to spend their day and that visitors were made welcome and could be seen in private. A programme of activities was ongoing and this included trips out, an activities organiser was employed. At the time of this inspection it was practice to lock many of the residents rooms once they were up and out of their rooms for the day, the inspector felt that this limited the choice and autonomy of many of the residents and recommended that each residents needs be individually assessed as to whether this practice was beneficial and that this be recorded as part of the risk assessment process. Residents spoken with were happy with the meals provided. Menu records were seen and appeared to provide a wholesome, nutritious and varied diet. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 13 The lunchtime meal was served during this inspection and appeared well presented and appetizing. The chef was seen out in the dining room during the lunchtime meal speaking with staff and residents, the chef said he did this on a daily basis in order to ensure residents were satisfied with the menu and meals provided, this is commended as good practice. Wymeswold Court DS0000039563.V333791.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures in place promote protection for residents. EVIDENCE: The majority of residents and relatives comment cards returned confirmed that they knew who to speak to if they were not happy and that staff responded appropriately to complaints made. The home has a complaints procedure, which ensures that complaints are responded to within 28 days. Details of how to make a complaint are provided within the service users guide. Complaints and adult protection training is provided within staff induction training. Adult protection training had also been provided to ancillary staff. One staff member spoken with was aware of adult protection procedures and had received training. Wymeswold Court DS0000039563.V333791.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, safe and well-maintained environment. EVIDENCE: Evidence provided within the pre inspection questionnaire confirmed that all routine and required maintenance work was being carried out. All areas of the home seen, appeared clean, comfortable, well maintained and furnished and decorated to a good standard. An environmental health inspection took place shortly before this inspection, no requirements or recommendations were made. Infection control policies were in place. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are looked after by a competent staff group. Recruitment procedures promote protection for residents. EVIDENCE: At the time of this inspection there were five care staff on duty during daytime hours and three care staff at nighttime. There were thirty-eight residents living at the home. One resident spoken with felt there were not enough staff on duty. Eight comment cards returned by residents indicated that staff were always available when needed and five said they usually were. Staff spoken with felt that there were enough staff on duty. Three care staff had achieved a national vocational qualification in care, four staff were working towards this qualification and a further five staff were due to commence this training. Care staff induction and foundation training records were seen, the appropriate training required for staff to do their jobs was being provided. Staff spoken with felt supported and trained to do their jobs. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and promotes the best interests of residents and staff. EVIDENCE: The registered manager had previously left the home due to promotion within the company. The new manager was present during this inspection and was due to officially commence his new post as the manager shortly after this inspection. The new manager said he was looking forward to the challenge of his post and said that he planned to improve activities available to residents and to improve and simplify care plans by making them more individualised. A programme of quality assurance was in place and this included monthly audits, a six monthly review for each resident and monthly visits and reports by a Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 18 senior manager. Information provided within the pre inspection questionnaire confirmed that records are maintained for all financial transactions regarding resident’s personal money. All required routine maintenance and safety checks are carried out and health and safety training provided. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 19 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 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 Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 20 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 OP7 Regulation 15 Requirement A plan of care must be in place for every resident which details the action staff must take in order to meet the residents assessed needs. An individual risk assessment for each resident must be carried out regarding the locking of resident’s rooms during the day time. Where possible residents should be provided with a key. Timescale for action 31/05/07 2 OP12 12 31/05/07 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 OP12 Good Practice Recommendations More attention should be given to ascertaining resident’s expectations, preferences and capacities; this is with particular regard to cultural and religious needs. Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 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 © 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 Wymeswold Court DS0000039563.V333791.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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