Inspection on 14/12/06 for Wyncourt

This inspection was carried out on 14th December 2006.

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

Wyncourt 15/03/06

Wyncourt 23/12/05

Wyncourt 25/02/05

Wyncourt 16/12/04

Wyncourt 11/03/04

Wyncourt 28/10/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Wyncourt 162 Park Road Timperley Cheshire WA15 6QH Lead Inspector Elizabeth Holt Unannounced Inspection 14th December 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wyncourt DS0000006732.V319088.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. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyncourt Address 162 Park Road Timperley Cheshire WA15 6QH 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) 0161 962 1290 0161 718 0442 Mrs Susan Mattinson Mrs Susan Mattinson Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0), Terminally ill (0) of places Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All service users require nursing care. Persons accommodated shall be aged over 60 years and require general nursing care, except that: a) A maximum of 10 persons may be aged 50 - 59 years; and b) A maximum of 4 persons aged over 50 may be accommodated who require palliative nursing care. That staffing levels as stated in the Notice issued under Section 25(3) of the Registered Homes Act dated 6 April 2001, shall be maintained. 13th October 2006 3. Date of last inspection Brief Description of the Service: Wyncourt Nursing Home is a large detached property. The home can accommodate 28 service users for general nursing care. Within this maximum number the home provides specialist nursing for those who require palliative care. The management of the home has been under the present Proprietor since 1997. The most recent extension to the premises has increased the facilities within the home in line with the National Minimum Standards. This has included an additional 9 bedrooms with en-suite facilities, 2 assisted bathrooms and a passenger lift. There is ramp access to both the front and rear of the building. There is a large well-maintained garden at the front and a smaller garden at the rear. A well-furnished, sheltered patio area is available for service users to enjoy during the summer months. There is adequate parking provision at the front and side of the building. The current scale of charges at the home are £550.00-£675.00. Costs in addition to the fee are hairdressing £5.50-£25.00, private phone bills, newspapers and magazines. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on the 14th December 2006. The key National Minimum Standards (NMS) were reviewed during this inspection. Information was gathered as part of the inspection process, this included a questionnaire completed by the manager, which gave information about the residents, the staff and the building. Information held by the Commission, for example, notifications of significant incidents were also reviewed. As part of the visit time was spent with the residents who live at the home, observing how the staff interact with the residents, discussions with the staff and the manager, assessing relevant documents and files and a partial tour of the premises. Nine of the ten resident/relatives questionnaires, which were left to be forwarded to the Commission, were returned. Comments from these have been included in this report. Since the last inspection one concern had been investigated under Adult Protection procedures. Following this investigation the home was required to review their recruitment procedures. What the service does well: The home carries out detailed assessments of each prospective resident before they are admitted to the home. Residents were registered with a General Practitioner (GP) and were encouraged to see them in the privacy of their own room. Staff showed their skills in communicating with residents and their representatives and had developed. The relationships between the staff and the residents/relatives were friendly and it was evident they knew them well. From the observations during the inspection it was evident the residents were treated with respect and dignity and their right to privacy was upheld. Residents spoken to said they could have visitors at any time. The computerised care planning system is detailed and extensive and staff have the skills to use this appropriately. The residents and relatives spoken to during this inspection visit said they were satisfied with the way staff treated them. Relatives spoken to felt involved in the care and were kept informed of changes in their relatives’ healthcare needs. A choice of menu is available at each mealtime and residents made positive comments about the food provided. One resident said; ”the meals are great Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 6 and there is always plenty to eat.” There were large stocks of fresh food available. The home encourages and supports staff to undertake training courses according to their needs. The staff are professional in their approach and are committed and enthusiastic. The home was free from any odour and one resident said; ”the cleanliness is second to none.” 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. The summary of this inspection report can be made available in other formats on request. Wyncourt DS0000006732.V319088.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 Wyncourt DS0000006732.V319088.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): 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs assessed before the offer of a place is made. EVIDENCE: The home ensures that resident’s needs are fully assessed prior to their admission to the home. The home place a high value on ensuring staff are equipped with the appropriate skills to meet the resident’s needs. Staff had made arrangements with the hospital staff to receive specialist training to ensure they were equipped to meet prospective residents’ needs. For residents admitted for continuing care the home gathered information from other relevant professionals. The home provides nursing care, continuing care, palliative care and care for residents with complex care needs. The documentation for two recent admissions showed the care needs in detail. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 9 Prospective residents /relatives were encouraged to visit the home prior to making a decision to live at the home. A recent relative who had visited the home prior to her relatives admission acknowledged how positive the staff were and respectful to the residents during this visit. Wyncourt DS0000006732.V319088.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): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each resident’s health and personal care is based on their individual needs and held in a computerised care plan. The principles of respect, privacy and dignity are put into practice. EVIDENCE: The home has a computerised system for the recording of the individual residents’ needs. The system was detailed; comprehensive and included risk assessments and evidence of monthly reviews. A sample of care plans examined showed the actions staff needed to ensure that all aspects of care are met to meet the assessed needs of the residents. It was not clear from the care plans that residents and or their representatives are involved in the development and review of the care plans. A recommendation was made for this to be recorded within the care plan. Specialist care plans were available for residents who are on the “End of Life Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 11 Pathway”. These were clearly recorded and showed the care and medical/nursing input provided. During the inspection observations of the staff showed the staff respected the residents’ needs for privacy and treated them with respect and dignity. Relatives and residents were positive about all the staff in the home. Examples of comments were, “the care and support is excellent”, “there is always someone to talk to if needed and action is always taken to reassure you”’ and “the staff are very kind and considerate”. Medication records were reviewed and showed the medication administration records (MARS) were appropriately maintained. Policies and procedures were in place for the management of medication. Wyncourt DS0000006732.V319088.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): 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. Activities were provided and residents were able to maintain contact with family and friends. Residents were able to exercise choice and control over their lives and the residents enjoyed the meals. EVIDENCE: Residents and relatives spoken to felt that there were adequate activities going on in the home. A programme of events was made available by the activities co-ordinator. Relatives commented how lovely it was to be included in the care and support of their relative and how they could also be a support to each other. One resident said, “If I can’t live at home, Wyncourt is a very happy choice. I now have two homes.” Staff, residents and relatives had just enjoyed the Xmas party. Other trips had included lunches out, shopping trips and a visit to a garden centre. The home is used for a placement for student nurses and students on a Health and Care module. These staff were encouraged to provide mental stimulation for residents and play dominoes, bingo, cards or just chat. Occupational therapy is provided on a weekly basis. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 13 Residents and relatives interviewed were happy with the food provided. Comments were:” We get a choice and the food is delicious”, “there is always plenty to eat”. The menus showed that a variety of meals were provided. A tour of the kitchen showed fresh meat, fruit and vegetables. Wyncourt DS0000006732.V319088.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the systems and procedures in place that allow people to express their complaints/concerns and to protect residents from abuse. EVIDENCE: The home had a complaints procedure. A resident spoken to said; “I would speak to the manager or one of the senior staff but I am very happy here.” The home had not received any upheld complaints since the last inspection. The home had a policy on the Protection of Vulnerable Adults and had access to Trafford’s Multi Agency Adult Protection Procedures, however discussions with some staff members highlighted they were not clear on the actions to take in the event of an allegation of abuse. In order to fully protect the residents living at the home staff members must receive up to date training on the Protection of Vulnerable Adults which includes the action to be taken in the event of an allegation of abuse. The procedure to follow must be available and accessible to the staff. Wyncourt DS0000006732.V319088.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): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home was well maintained and provided a safe, clean, homely environment for the residents accommodated. EVIDENCE: Wyncourt Nursing Home provides a homely, safe and well-maintained environment with a choice of communal areas. Since the last inspection the home had provided a new roof and windows to the conservatory and airconditioning installed. Other improvements included the installation of new bathing facilities to meet the specialist needs of residents and updating of a number of curtains and carpets. A tour of the home showed the residents’ bedrooms to be comfortable and personalised. All parts of the home were free from unpleasant odours. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 16 Equipment was provided to promote the comfort and well being of the residents. A number of bedrooms have specialist beds and overhead hoists to assist the staff to meet the assessed needs of the residents. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Staff are employed in sufficient numbers and skill mix to meet the changing needs of the residents. EVIDENCE: At the time of the inspection the home accommodated 27 residents in receipt of nursing care. The staffing levels reflected the needs of the residents, which included higher levels of staff on the morning shift to meet the residents’ needs. Residents and relatives said there seemed to be enough staff to ensure the residents’ needs could be met. Following an anonymous complaint and concerns raised by the home themselves a site visit was carried out by The Commission for Social Care Inspection in October 2006. It was concluded there was evidence of poor practice regarding the recruitment procedures present in the home. A requirement and recommendations for good practice were made. At this site visit it was evident that the recruitment of staff had been improved. Samples of staff files were reviewed. The files contained the information required in line with Schedule 2 of the Care Homes Regulations 2001.Senior nursing staff spoken to said they had revised the recruitment procedure and Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 18 could explain what action they would take prior to interviewing a staff member and during the recruitment process in the event of the manager being away from the home. The home employed 27 care staff with 20 of these staff having successfully achieved NVQ level 2. The home provides an emphasis on training and is using the Trafford training consortium to ensure the staff have the appropriate skills to meet the needs of the residents. A training programme was evident which showed some obligatory training and optional courses available. Staff spoken to were positive about the courses they had done and found the home to be a stimulating learning environment. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 management and administration of the home is based on openness and respect. The manager is competent and has a quality assurance system. EVIDENCE: The manager is fully aware of her responsibilities and demonstrated her knowledge and understanding of the residents well. A system was in place for all the policies and procedures to be reviewed and updated. A procedure was in place to maintain the pocket monies only for residents. Health and Safety risk assessments were being established. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 20 Procedures are in place, for example resident/relative, staff meetings to find out what people think of the service. The home was maintaining an accurate fire log with the required checks and fire drills carried out. Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 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 4 X X X X X X 4 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 Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 22 No 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. 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 Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection CSCI, Local office 12th Floor West Point 501 Chester Road Old Trafford Manchester M16 0HU 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 Wyncourt DS0000006732.V319088.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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