Inspection on 03/03/06 for Wyndham House

This inspection was carried out on 3rd March 2006.

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

Wyndham House 05/01/09

Wyndham House 09/01/07

Wyndham House 28/07/05

Wyndham House 07/12/04

Wyndham House 15/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wyndham House Martlet Road Minehead Somerset TA24 5PR Lead Inspector Rachel Doyle Announced Inspection 3rd March 2006 11:45 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 Wyndham House DS0000016037.V264428.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. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wyndham House Address Martlet Road Minehead Somerset TA24 5PR 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) 01643 703934 01643 703253 Somerset Care Limited Mrs Madeleine Vivienne Flanagan Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th July 2005 Brief Description of the Service: Wyndham House is registered with the Commission for Social Care Inspection (CSCI) to provide personal care for up to 35 people over the age of 65. The home is owned by Somerset Care and managed by Madeleine Flanagan. The home is planning to provide within the registered numbers two Step Up/Step Down beds intended to assist service users to avoid hospital admissions. 15 rooms are contracted to Somerset Social Services. A major building project is near to completion to provide an additional 16 bedrooms called Selworthy unit. An action plan has been completed to minimise disruption to existing service users risk assessment have been completed. The new building will be linked to the existing one by a dining room and conservatory. The home is situated up a hill in close walking distance from the centre of Minehead, providing access to a wide range of facilities. The property is a three storey older house with a modern two-storey extension. The location of the home allows residents to enjoy a seaside town environment if they are sufficiently mobile. There are 35 single bedrooms, rising to 50. Nearly half have en-suite facilities. Residents are encouraged to furnish their rooms with their own possessions and have an opportunity to choose the colour scheme. There is a programme of organised activities, which encourages interaction between residents and staff. The home has been adapted to maximise independence and contains sufficient specialised equipment. There are well-established systems of care and staff management. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Friday 3rd March 2006. The inspector was able to spend time with the manager and tour the building. All staff were very welcoming and the inspector was able to look at any relevant documents and took lunch in the dining room with the residents. There was a warm, friendly atmosphere with residents pottering around the Home as they wished, chatting to staff and visitors coming and going. There were 33 service users in residence during the inspection, with 1 due back from hospital and others booked for the new unit when it opens later in the month, pending a site visit by CSCI. The inspector spoke in depth to 7 residents, the manager, 2 staff and 2 visitors. All comments were very positive and showed that there was good communication between residents and their representatives and the staff team. The manager and staff praised Somerset Care and found the provider supportive. The inspector was also able to speak to the Area Manager of Somerset Care who popped in during the inspection. Other than the manager, there was a supervisor, shift leader, 4 care staff, 2 kitchen staff, a laundry person and domestic, an administrator and a full time activity organiser on duty. All residents felt that there was generally sufficient staff to meet their needs. One relative commented that ‘it’s not just the lovely building, it’s the staff and their very friendly attitude and all the things they do for the residents’. Other comments by residents and relatives re-iterated this view. Five comment cards were received from residents and 3 from relatives. Comments included ‘we are very happy and reassured to be cared for so securely and helpfully by well trained and dedicated staff’, ‘all very satisfactory’ and ‘all staff are very helpful, bright and cheerful, a lovely and happy home’. This inspection focuses only on the key National Minimum Standards not assessed during the previous inspection and any that were the subject of requirements or recommendations. Following this report the Taunton office, not Exeter, will again be inspecting this service. What the service does well: It is clear that the registered manager’s aim in running the home is to provide the best possible individual care to residents. There is an established positive group of carers. The majority are qualified to NVQ level 2 and above. There is a comprehensive training system. Residents confirmed they were well cared for at Wyndham House. There were many very positive comments. Residents benefit from the contributions made by all members of the support staff and there is evidence of good communication between residents, their representatives and staff. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 6 Residents enjoy a wholesome and varied menu, which takes into account the needs and preferences of people in the home in a very individual way. The home environment is well maintained. The Home is safe, clean and comfortable. The Home makes the best of the communal areas and bedrooms areas available and there is a lovely landscaped garden with a fountain and seating areas, which is easily accessible and safe for residents. There are no requirements made during this inspection and one recommendation, which is very commendable. 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. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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 Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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): Not judged on this occasion. EVIDENCE: Not assessed on this occasion. Please see previous report. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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, 10 Staff have a good understanding of and meet residents’ health and personal care needs although improvements could be made in recording all identified needs clearly. Residents’ privacy and dignity are met and promoted by staff. EVIDENCE: Staff were seen to maintain residents’ privacy and dignity throughout the inspection and residents spoken to felt that this was maintained. Staff promoted residents’ privacy for example by knocking on doors before entering and shutting the door to discuss sensitive matters. Residents are able to greet visitors where they wish and were asked if they wished to see visitors before they were invited in. Staff always acknowledged residents as they pottered around the Home and were attentive to their needs, with wonderful interactions, obviously having a good knowledge of each resident, including new admissions. One resident in a respite bed had liked the Home so much they had been accommodated to stay on a permanent basis. Four care plans were looked at in depth. All residents are allocated a supervisor and key worker and records showed an attention to residents’ preferences, activity records and clear plans of recorded needs. On case-tracking it was clear that Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 10 staff were aware of all residents’ needs but some details were not clearly recorded such as social histories, nutrition needs and actions, anxiety, diabetic care and self-neglect. Risk assessments and health assessments were good such as Waterlow. Plans encouraged staff to maintain residents’ independence and residents had signed plans to say that staff had discussed them and that they agreed their contents. Multidisciplinary notes and contact were good. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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, 14, 15 Social activities and meals are both well managed, creative and provide daily variation, homely atmosphere and interest for residents. Residents are encouraged to maintain their independence, exercising choice and taking control of their lives. EVIDENCE: There is a full time activities organiser and clear records showing that each resident’s social and leisure needs are being addressed. Messages and meetings with relatives are well recorded. One visitor said that ‘the Home got me up dancing the other day and there is a lovely atmosphere, I like the fat I can visit any time’. One resident talked of a lovely trip out to Snowdrop valley and many residents had enjoyed time with staff whilst having manicures. Staff were asking residents if they would like to do painting and the manager has made a reminiscence table with items of interest such as a beautiful old wedding dress to stimulate conversations. The Home is a lively place with residents and staff chatting in the communal lounge/conservatory and TV room or residents are able to relax quietly in their rooms as they wish. Staff were consistently offering choice. The meal was individualised in a congenial setting with staff being attentive and monitoring nutritional intake appropriately and assisting with the meal in a sensitive manner. The food was fresh, very varied and dished up from serving dishes as residents wished. Most residents eat in Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 12 the dining room, which is beautifully laid up and this can be flexible depending on personal choice. Families and friends are welcome to join relatives for meals. There are cold drinks freely available throughout the Home. One resident said that they felt they were in a 3 star hotel. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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 Residents feel confident that they are listened to and any concerns acted upon appropriately. EVIDENCE: All residents felt able to pop into the manager’s office at any time. There will also be a separate office for the deputy manager. The manager showed the inspector how they were making every effort to accommodate one resident’s concerns and there was good liaison with the multidisciplinary team. The area manager comes to the Home regularly and sees residents and there is a designated hour for a manager’s surgery time for residents to raise any issues. A book inside the front door is also used for any comments and the manager sees all residents personally every day. All residents felt that they were happy with the systems in place to raise issues and none had any concerns on the day of the inspection. There is a good complaints procedure, which is clearly displayed. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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 The standard of the environment is high, providing residents with attractive, safe and clean surroundings. EVIDENCE: The Home is an older building with a modern and a new build two storey extension, shortly raising the accommodation to 50 residents. There is plenty of communal space including activity areas, quiet areas, a sunny conservatory and a glass roofed dining conservatory, which accommodates all 50 residents. The Home is clean throughout and residents confirmed that this was generally the case. There is a purpose made garden recently landscaped at the rear accessed from the conservatories and some residents’ rooms, which includes a circular pathway, fountain, sea views and flower beds. The staff and management team are obviously very proud of the Home and the service, which it provides and the manager has recently written an article, which gives a positive outlook on life in a care home. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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): 29 The procedures for the recruitment of staff are robust and provide residents with safeguards for their protection. EVIDENCE: Four recruitment records were seen, which were all correct. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 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): Not judged on this occasion. EVIDENCE: Not assessed on this occasion. Please see previous reports. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X 3 X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 18 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. 1 Refer to Standard OP7 Good Practice Recommendations It is recommended that care plans are updated/reviewed monthly to include short-term issues requiring action and that all identified needs are clearly recorded. Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Wyndham House DS0000016037.V264428.R01.S.doc Version 5.0 Page 20 - 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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