Inspection on 08/12/05 for Wymeswold Court

This inspection was carried out on 8th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wymeswold Court 02/04/09

Wymeswold Court 18/04/07

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 Mr Everton Osbourne Unannounced Inspection Thursday, 8th December 2005 09:30 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 Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 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.V270037.R01.S.doc Version 5.0 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) Southern Cross Care Homes No 2 Limited Mrs Sharon Elizabeth Edens Care Home 40 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (6), Old age, not falling within any other of places category (34), Physical disability over 65 years of age (34) Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one under 60 years of age who falls within category DE to be admitted into the home. Service User Numbers - DE or DE(E) No person to be admitted to the home in categories DE or DE(E) when 6 persons in total of these categories/combined categories are already accommodated. No person falling within category PD(E) may be admitted to the home when 34 persons who fall within category PD(E) are already accommodated. 18th May 2005 3. 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. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took three hours and thirty minutes to complete. The outcome of the inspection was positive in that three residents spoken with indicated that they are satisfied with the care provisions in the home. In addition to the three residents spoken with, three care records and other related documents were examined. One care staff member, the acting manager and the regional operations manager were also spoken with as part of the inspection process. No Requirements or Recommendations were made. What the service does well: 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. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 6 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.V270037.R01.S.doc Version 5.0 Page 7 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): 2, 3 and 6 Residents are given sufficient information about the care provisions in the home, which include a written contract for the protection of residents’ right of abode in the home. Robust assessment processes are in place for the care of residents. EVIDENCE: Three residents’ admission records seen indicated that a contract including Terms and Conditions of residence is given to every resident informing them about their right of abode in the home. Three residents’ assessments were inspected. The documents indicated that needs-led assessments were carried out prior to them moving into the home. The documents clearly identify the care needs of the residents. Discussion held with the regional operational manager indicated that the providers do not provide intermediate (rehabilitation) care in this home. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 8 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, 9, 10 and 11 The medication and care plan processes work well in giving residents the care they need. EVIDENCE: Three residents’ care plans were inspected. The documents seen and discussions held with the acting manager indicated clear instructions are recorded in the document for care staff members to follow in order to deliver the care residents need. One resident commented ‘They look after me well’ (referring to the care staff), indicating also that the care staff are very respectful. The medication process was inspected. A physical check of one resident’s medication and the Medication Administration Records indicated that staff members appear to be adhering to safe medication practices. Three residents’ care plans seen showed that the providers’ process concerning the event of the death of a resident is robust. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 9 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 and 14 Giving residents’ a choice regarding their daily lifestyle is managed well so that residents can make decisions about recreational activities at their convenience. EVIDENCE: Conversation held with three residents indicated that they are able to make a choice concerning taking part in recreational activities in and away from the home. Visitors’ records seen and conversation held with three residents indicated that they receive visitors into the home at their convenience. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 10 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): 17 There is an adult protection procedure to protect residents’ legal rights. EVIDENCE: Three residents’ care records seen and conversation held with three residents indicated that systems are in place so that residents can participate in the voting process and obtain the services of advocates when required. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 11 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 home is maintained to good standards with an emphasis on creating a homely environment. EVIDENCE: A tour of the premise indicated that the equipment, fixture and fittings throughout the home are suited for the intended purposes. Observations made indicated that the home is maintained in a clean condition. Conversation held with one staff member indicated that the providers appear to be adhering to safe hygiene practices. One resident spoken with commented ‘The home is kept very clean and I like it here’. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 12 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, 29 and 30 Adequate staffing levels are being maintained in the home for residents’ care and protection. The recruitment and training processes are robust in ensuring that suitable staff members are employed to work in the home. EVIDENCE: The staffing rota seen and observations made indicated that there were adequate numbers of staff members on duty throughout the day. Three residents spoken with indicated that they are satisfied with the staffing levels maintained by the providers. One staff record seen and discussion held with the regional operations manager indicated that sufficient numbers within the staff team have achieved their National Vocational Qualifications (NVQ 2) in care duties. One staff member’s recruitment and training record inspected indicated that all relevant documentation and training certificates are contained in the file. Conversation held with one senior care staff member indicated that she was fully inducted and has attended several core training courses for example ‘moving and handling’ training. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 13 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, 32, 34, 35, 36, 37 and 38 The home is managed well and staff members appropriately supervised for residents’ care and protection. EVIDENCE: There is currently an acting manager managing the home. Previous inspection carried out and conversation held with three residents indicated that the acting manager is suitably experienced for the role of managing the home. A liability certificate on display indicated that the home appear to be suitably insured against loss or damage to the property and its contents. One staff member’s record was inspected which indicated that she receives formal supervision on a regular basis. All care records inspected were up to date and are kept locked away in secured space. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 14 The home’s maintenance records indicate that the fire detection devices installed throughout the home are kept well maintained with a regular inspection of all equipment kept in the home. Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 15 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 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x 3 3 3 3 3 Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wymeswold Court DS0000039563.V270037.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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