Inspection on 23/12/05 for Wyncourt

This inspection was carried out on 23rd December 2005.

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 14/12/06

Wyncourt 15/03/06

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 Nicholas E Allen Unannounced Inspection 23rd December 2005 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.V267848.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. Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 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.V267848.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. 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. 25th February 2005 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 wellmaintained 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. Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the services provided. The process considers the home’s capacity to meet regulatory requirements and minimum standards of practice. This is the first inspection of the year; all of the core standards were inspected. The methodology used for this inspection was ‘case tracking’ the care of two service users by reviewing their care plans against the care they received and speaking with the service users, visitors and staff. The inspector would like to thank all those who contributed to this inspection. 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. Wyncourt DS0000006732.V267848.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 Wyncourt DS0000006732.V267848.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): 3, 6 Service users’ needs are assessed before admission and good information was available to help service users and / or families make a decision before moving in. Service users and/or their families are offered the opportunity to visit the home and therefore make an informed decision about admission to the home. EVIDENCE: The manager assessed all the service users prior to admission. The tool currently used for the pre-admission assessment was good information and covered all areas. A service user told the inspector that her family had looked around various homes and had chosen this one on his behalf. Contracts were not reviewed at this inspection; however, the service user was able to confirm that the first weeks of the admission were as a trial period. Intermediate care was not provided. Wyncourt DS0000006732.V267848.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, 8, 9, 10 All aspects of a service users care that required assistance was supported by a care plan to ensure the service users needs are met. EVIDENCE: As already mentioned a pre-admission assessment that covered all the headings listed in standard 3.3 of the National Minimum Standards ensured that all relevant areas were considered and appropriate plans written. The care plans that had been produced were in sufficient detail. They covered all areas including cultural diversity and spiritual needs. One file sampled was that of a service user who had been admitted to the home recently. Care plans had been written, and base observations for risk assessments such as tissue viability and nutrition had been recorded. The manager stated that it is expected that care plans should be written and base observations recorded as soon as possible after admission. It was noted that where any problems were identified during routine assessments the appropriate support or equipment had been provided. For Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 9 example a raised Waterlow score indicated the need for a pressure-relieving mattress, which was recorded as provided. Service users spoken to choose the clothes they wished to wear. Staff were observed treating service users with care and dignity throughout the inspection. Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 10 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 An activity co-ordinator provided a weekly programme of activities for service users that appealed to a variety of different tastes. The manager ensured that the daily routines in the home were flexible to meet the needs and choices of the service users. EVIDENCE: The activity co-ordinator produced a weekly plan of events. Events and activities included relatives and visitors to the home. During the inspection it was noted that the staff also spent one-to-one time reading with service users. Service users spoken to at the mealtime stated that they were offered a number of choices that met their individual need. The same service users said that the home was “theirs” and they could do “what they liked” or as one said “or do nothing if I want”. The owner was insistent that service users could decide when they wished to get up and go to bed, and that there were no restrictions on them. She had Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 11 spoken to all staff, both day and night, about providing a round the clock service and working to the needs of the service users and not their own. Service users confirmed they were able to rise and retire when they wanted to. Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 12 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 A complaints policy was in place that would ensure complaints were dealt with appropriately. The procedures in place to protect residents from abuse were appropriate. EVIDENCE: The home had an advertised complaints procedure. A service user reported that if she were unhappy with the care she was receiving she would speak to the manager, even if it meant a member of staff might have to be told off. Another Service User said, “what would I want to complain about Staff spoken to were aware of their role when dealing with complaints and who to report to. All confirmed they had received training on the policy. There were no recorded complaints. Staff were aware of the adult protection policies and procedures. Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 13 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 The home was well maintained and provided a safe environment for Service Users. A number of communal areas made it possible for service users to choose where they wished to sit during the day. Service users were cared for in a clean well-furnished environment. EVIDENCE: The home was clean, well furnished and free from any unpleasant odours. Service users reported that sitting in the conservatory area was particularly pleasant as the small garden could be viewed and the sun through the glass was enjoyable, particular when it was out of season, such as on the day of the inspection. There had been no major changes to the environment over the last year, with the exception of routine refurbishment. A tour of part of the premises was positive and showed how individual rooms had been personalised to meet the needs of individuals Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 14 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 Staff training, together with staffing levels ensured individual Service Users’ needs were met. EVIDENCE: The management team made every effort to ensure that there was always a sufficient number of suitably trained and experienced staff on duty. The number of staff on duty reflected the needs of the service users and there was a higher number of staff on duty during the morning, when there was greatest need. Nurses, as well as care staff, were on duty at night. There was a strong emphasis on ensuring that all staff received appropriate training, most was organised internally. The training matrix identified the areas that needed to be covered and the staff that needed the training. The manager had provided a training programme that encouraged staff to look at the holistic needs of the service users. The management team was aware of the need to assess service users in relation to the qualifications and experience of the staff team. Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 15 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 The owner / manager showed an enthusiastic approach to her role and had a clear vision for the home. EVIDENCE: There was clear evidence of the home operating in a way that ensured that Service Users lived in a home that was well managed and delivered an appropriate service. This was achieved in a variety of ways including the recruitment process, general administration processes including financial procedures. Reviews of all Service Users were carried out in an appropriate way, as was supervision of staff. This was a delegated task. All records were up-to-date and signed or countersigned as appropriate. All Health and Safety issues were addressed and maintenance records including Water, Gas and Electricity were up to date. Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 16 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 17 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 Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Wyncourt DS0000006732.V267848.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!