Inspection on 10/10/06 for Wymondley Nursing Home

This inspection was carried out on 10th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Wymondley Nursing Home 11/10/07

Wymondley Nursing Home 28/02/06

Wymondley Nursing Home 02/08/05

Wymondley Nursing Home 30/03/05

Wymondley Nursing Home 25/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Wymondley Nursing Home Wymondley Nr Hitchin Hertfordshire SG4 7HT Lead Inspector Mrs Judith Kent Unannounced Inspection 10th October 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wymondley Nursing Home DS0000019630.V302835.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. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wymondley Nursing Home Address Wymondley Nr Hitchin Hertfordshire SG4 7HT 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) 01438 312434 01438 355659 Wymondley Nursing and Residential Care Home Limited Ms Joanne Kendell Care Home 59 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (59), of places Physical disability over 65 years of age (59), Terminally ill over 65 years of age (59) Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. This home may accommodate up to 4 older people who require personal care. This home may accommodate up to 3 older people with dementia who require personal care. This home may accommodate 59 older people who require nursing care. This home may accommodate 59 older people with physical disability who require nursing care. This home may accommodate 59 older people with terminal illness who require nursing care. This home may accommodate 59 older people who require convelescent nursing care. 28th February 2006 Date of last inspection Brief Description of the Service: The building is a former vicarage with a large modern extension. The provider, Wymondley Nursing and Residential Care Home Limited, was first registered by Hertfordshire County Council under the Registered Homes Act 1984 in March 1990 prior to the current registration under the Care Standards Act 2000. The home provides nursing care and accommodation for older people, with or without physical disabilities and for older people with terminal illnesses. It is also registered to provide personal care for 3 older persons with dementia. The home is situated in the village of Wymondley, close to the towns of Hitchin, Letchworth and Stevenage, a short distance from the village centre with facilities such as the church and pub. The home has links with organisations in the village. Access to public transport is limited. Accommodation is provided on three floors served by 2 passenger lifts. All bedrooms are single rooms, 22 with en-suite toilets. There are several day rooms. The building stands in extensive, attractive grounds, greatly enjoyed by many service users. There is ample car parking space in front of the home. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place between over five hours during the day and was carried out by two inspectors. Questionnaires for service users had previously been sent to the home and eleven had been completed and returned to the CSCI. During a tour of the house the inspectors spoke with service users, relatives, staff members and the management team, and although the manager was not on duty, she was represented by a senior colleague throughout. Fees in the home range from £558 p.w. - £618 p.w. What the service does well: What has improved since the last inspection? What they could do better: The home needs to be able to show that it consults all service users and other stakeholders about the quality of care provided and that the findings are incorporated into the home’s planning. While medication is generally managed well, recording practice and storage need to be attended to. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 6 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. Wymondley Nursing Home DS0000019630.V302835.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 Wymondley Nursing Home DS0000019630.V302835.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans were looked at during the inspection and those seen showed that the home carries out an assessment of each person’s needs before they move into Wymondley Nursing Home. A Service Users’ Guide is given on admission to the home. EVIDENCE: Prospective service users are given full information to enable them to make an informed decision about moving into the home. Service users can be confident that the home can meet their assessed needs. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 9 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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users care plans set out their individual and changing needs, ensuring that appropriate care is given. Medication is generally managed effectively and safely although the practice of recording administration before medication is given to service users could lead to unclear and inaccurate records EVIDENCE: Care plans seen at the inspection showed that service users health and social care needs are set out in their individual plans and that these are regularly reviewed and amended to reflect changing circumstances. Risk assessments are included and set out how identified risks are to be managed. Service users are helped by the staff group to maintain their independence as far as possible – an approach which was acknowledged by those service users who spoke with the inspectors. The inspectors saw examples of good care practice during the inspection – service users were helped discreetly and with regard to their dignity. Medication administration and storage were seen and were generally satisfactory, although the Medication Administration Record (MAR) chart was Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 10 seen to be completed before the medication had been given to one service user. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 11 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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users dietary and nutritional needs are met by the catering staff; they are encouraged to maintain their independence and to keep their community links, enabling them to maintain the lifestyle of their choice. EVIDENCE: Service users were enthusiastic about the catering in the home – menus are varied and offer a balanced and nutritious diet and an alternative choice at both lunch and teatime is always offered. The lunch served during the inspection was attractively presented and generous in quantity; those people who needed help to eat were assisted discreetly and sensitively by care staff. Inspectors made some suggestions about how soft or liquidised food could be served to those people who need it. The chef meets regularly with service users to discuss menus and receive suggestions which are taken up where practical. Service users at Wymondley are able to have visitors at any time – several were visiting during the inspection and spoke with the inspectors. People are encouraged to maintain their links with their community, where possible, and there is a weekly communion service offered by a local church. There had been a comment on a questionnaire by a service user’s relative that activities in the home were not always given priority and that they relied on there being sufficient staff on duty. Inspectors discussed activities with service Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 12 users who generally thought that there was enough going on if they wished to join in. Activities include quizzes, sing-alongs, barbecues and festival celebrations throughout the year. The home has two part-time activities organisers who maintain records of who participates and what they enjoy. Care staff spend time with service users, often on a one-to-one basis, and there are table games, books and newspapers available. There are also regular visiting entertainers who are always popular with service users. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 13 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse and can be confident that their concerns and complaints will be listened to and dealt with appropriately. EVIDENCE: There is a comprehensive complaints procedure in place which is on display in the home and is included in the Service Users’ Guide. There have been no complaints recorded since the last inspection and service users confirmed that they would feel able to voice their concerns to the proprietors or the manager. There had been an exchange of correspondence with one service user’s family as the home felt that his needs were not being met at Wymondley. The matter had been dealt with appropriately and was resolved for the service user, who has since moved to another home. There is a whistle blowing procedure in place and the Hertfordshire Adult Protection procedure is available in the home. All staff are given adult protection and whistle blowing training. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 14 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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, safe, well-maintained home. EVIDENCE: The home has a welcoming and homely atmosphere and is light and bright in the communal areas, particularly the small glassed-in seating areas which are well-used by service users. Decorations are maintained to a high standard throughout and the housekeeping staff ensure that all areas of the home are clean and that there are no unpleasant odours. Furniture and furnishings are in good condition. The laundry in the home is well equipped, clean and in good order. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 15 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that staff have been safely recruited and that they are given relevant training. There are sufficient staff on duty to meet individual service users’ needs. EVIDENCE: Service users and relatives spoken with at the inspection confirmed that there are plenty of staff on duty and that they are responsive to their needs. This was reinforced by the responses on the written questionnaires that were returned to the CSCI. The recruitment process for several of the latest staff to join the home was looked at and while all the necessary documents were in place and security checks had been made, two files showed references obtained from friends of the applicants, despite another employer being listed on the application forms. The need to seek appropriate references was discussed with the management team. Training records were seen and showed that there is an induction programme for new staff and ongoing training takes place – both in-house and external – for all staff including housekeepers. The home has an ongoing programme for care staff to take the National Vocational Qualification (NVQ) in Care at both Levels 2 and 3. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 16 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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and other interested people are asked for their views on how the home is run and the outcomes of surveys inform the planning process Service users’ welfare is generally protected through the home’s health and safety procedures, although there is a need for staff to be vigilant to areas of risk in the home to ensure the continued wellbeing of both staff and service users. EVIDENCE: Staff spoken with reported that they receive regular supervision and this was confirmed by records seen; they confirmed feel supported and valued by the management team. While the catering team have regular recorded meetings with service users to discuss menus, there is nothing to show that service users’ views about other Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 17 areas of the home and how it is run have been sought. The proprietors are regularly in the home and they and the manager talk to service users on an informal basis. Service users are consulted by questionnaire about the quality of care provided and an analysis of the information drawn from the surveys is completed. A concern about the siting of hoists for recharging when not in use was raised by the inspectors – one was placed directly outside the door of a service user’s room and could present a hazard to someone leaving the room, four others were lined up on the ground floor. There is a need for risk assessments to be completed for these sitings and for the manager to be satisfied that risk to service users, staff and visitors is minimised. A minor health and safety infringement observed by an inspector was acknowledged and dealt with responsibly by a staff member, showing that there is an awareness of health and safety issues in the home. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 18 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 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 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 2 Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 19 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 2 Standard OP9 OP38 Regulation 13(2) 13(4)(c) Requirement Medication should be signed for only after it has been administered Risk assessments for storage of hoists must be completed Timescale for action 10/10/06 30/11/06 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 OP29 Good Practice Recommendations References for job applicants should where possible be obtained from previous employers, rather than ‘friends’ of the applicant. Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Wymondley Nursing Home DS0000019630.V302835.R01.S.doc Version 5.2 Page 21 - 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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