Inspection on 23/06/06 for Wyngate Rest Home

This inspection was carried out on 23rd June 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

Wyngate Rest Home 07/06/07

Wyngate Rest Home 24/02/06

Wyngate Rest Home 05/05/05

Wyngate Rest Home 16/02/05

Wyngate Rest Home 15/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Wyngate Rest Home Alford Road Mablethorpe Lincs LN12 1PX Lead Inspector Moya Dennis Key Unannounced Inspection 23rd June 2006 12:15 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 Wyngate Rest Home DS0000002481.V299680.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. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyngate Rest Home Address Alford Road Mablethorpe Lincs LN12 1PX 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) 01507 477531 Mr Stephen John Croudace Mrs Sharon Jane Barnett Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th February 2006 Brief Description of the Service: Wyngate is a privately run modern residential care home providing personal care for up to 26 older people. The home is situated on a main road and bus route, just outside the small town of Sutton On Sea. The home is built on one level and has 25 single rooms and one on-suite shared room. There are two communal lounges and a large dining room. The home is decorated and furnished to a high standard throughout. There is also a communal garden, accessible to residents. The home has a mini bus, wheelchair accessible, for trips out and health appointments. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was undertaken using a review of all the information provided relating to Wyngate and by visiting the home. The inspection took place over 4 hours. Many of the key standards were inspected at the last visit and have therefore not been inspected at this visit. The main method of inspection used was case tracking, which involved tracking the care of selected residents, examining their records, discussing their experiences of care and listening to their views; speaking to care staff, observing care practices and touring the building. Four residents assessments and general records were inspected. Four members of staff and six residents were interviewed during the inspection. Several other residents spoke to the inspector informally. No visitors were present during the inspection. What the service does well: What has improved since the last inspection? An activity co-ordinator has been employed, providing residents with more leisure options and the opportunity to take part in more community based events. The acting manager and Group matron have implemented a supervision system to ensure that all staff receive formal supervision at least six times a year. A new self-appraisal system for staff will be formally recorded and help identify learning needs, personal strengths and improve quality assurance within the home. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 6 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. Wyngate Rest Home DS0000002481.V299680.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 Wyngate Rest Home DS0000002481.V299680.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): 3,4, 5. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Standards 1, 2 met at last inspection. Previous reports confirm that residents are provided with clear information and have their needs fully assessed before moving to the home. They and/or relatives are able to visit the home to look round before deciding. The home does not offer Intermediate Care. EVIDENCE: The statement of purpose is displayed in the foyer and every new resident is given a copy of the service user guide. The home continues to assess all prospective residents and now writes to inform them that the home can meet their needs. Prospective residents are offered a month’s trial to determine whether they will be happy in the home and their needs can be fully met. Wyngate Rest Home DS0000002481.V299680.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): 10, 11. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Standards 7, 8, & 9 were met at last inspection. Past reports evidence that care plans are holistic clearly defined. There is good contact with healthcare professionals and monitoring of health issues. Staff are trained to administer medication. No resident currently chooses to self medicate. EVIDENCE: During the inspection no member of staff entered a resident’s room without knocking and all staff used appropriate language and the preferred terms of address to residents. Staff confirmed that the necessity to treat residents with respect at all times had been stressed during induction. Staff help residents who need help to eat by sitting at the table with them in the dining room and giving help discreetly. All residents wear their own clothes at all times. The standard of laundry is high although care staff undertake this along with other tasks. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 10 Issues concerning death and dying will be addressed in planned future training to ensure that appropriate policies and procedures are in place and observed by all staff. Staff will also be supported with bereavement counselling where necessary. Wyngate Rest Home DS0000002481.V299680.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. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Standards 14 & 15 met at last inspection. Previous report was positive about choice. Copies of menus demonstrate wholesome variety is offered. Residents preferences are taken into account. EVIDENCE: An activities co-ordinator has been employed and an activity plan is being drawn up with input from residents. A copy of the entertainment questionarre given to residents was made available to the inspector. Residents are asked for their preferences regarding group entertainment, outings, cards, dominoes, music, and coffee mornings between other homes. They are also asked to contribute other ideas they would like to see implemented. Residents confirm that there is more going on in the home now. Remarks included, “I was bored stiff living at home. I really appreciate the company and the chance to do things”. Residents confirmed that visitors were always made welcome, although none were present during the inspection. One resident has a fiancé, able to visit in Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 12 private each week. Residents are able to go to the village in a wheelchair with a care if they wish. Other options are trips to church, bingo halls or garden centres. Wyngate Rest Home DS0000002481.V299680.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): 17. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Standards 16 and 18 were met at last inspection. Previous report evidenced that complaints procedure is robust and efficient. Safeguarding Adults policy is understood by all staff. EVIDENCE: Residents spoken to confirmed that they were able to vote in elections, if they wished. Residents who lack capacity have their rights protected by relatives or supporters who act on their behalf. The acting manager confirmed that she would help get access to local advocacy services if this was necessary. Wyngate Rest Home DS0000002481.V299680.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, 20, 22, 23, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Standards 21, 24 met at last inspection. Reference made in the inspection report to the clean and pleasant atmosphere. EVIDENCE: There is an ongoing programme of maintenace and refurbishment with rooms being recorated as they become vacant. The home is furnished, decorated and maintained to a very high standard. Furniture and fittings are domestic in natuer, giving a comfortable homely feel. The home smells very fresh; the acting manager confirmed that the carpets are cleaned every week. The communal gardens are accessible to residents and they are able to sit and relax there if they so wish. Of the two lounges, one is a ‘quiet room’, with no TV wher residents can sit and talk. One resident said they were able to do jigsaw puzzles there, without being disturbed. There are other, smaller areas thoughout the home where residents can sit and just look out of the window, Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 15 or read. The dining room was pleasant with the small tables attractively laid, café style. One room is available to be used as a hairdressing salon and foot care. There are no grab rails along the corridor. This has been raised in previous inspections. The acting manager and group matron asked residents for their views. The majority of residents are not independently mobile, using rollators or wheelchairs. The more mobile residents did not think that rails would help and some thought rails would make the home, “look like an institution”. The situation has been risk assessed and will be kept under review. Bath hoists and aids meet the needs of all residents. There are call bells in all rooms. Not all radiators in communal areas are covered but this has also been risk assessed, will be kept under review and the work completed as soon as possible. Residents were pleased to show the inspector their rooms, which were all comfortable and personalised. The furniture is of good quality but rather dated. This is being replaced as part of the refurbishment programme. Rooms were warm and well lit, with plenty of natural light. One resident had stays in three homes before deciding on Wyngate. Residents remarks included, “The cleaners do their job well … I’ve got a nice room and staff come running if I need them … I like a laugh with them … since the new manager came it’s been the happiest time yet … there’s nothing I’d change, everyone’s so nice to me”. The rooms at the rear of the home back on to corn fields and the acting manager confirmed that there have been sightings of field mice in the building. These are though to have got in via open windows and doors during warm weather. Records show that pest control operators visited the home two weeks before the inspection, following the sighting of a field mouse. Another visit was scheduled two days after the inspection to check that the problem was resolved There is a designated laundry room, well away from food preparation and storage areas. The laundry is large enough to ensure soiled laundry is treated appropriately to minimise the risk of contamination. Washing products are kept in locked cupboards when laundry is unoccupied. Soap dispensers are used in hand washing facilities to minimise the spread of infection. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Standards 29 & 30 met at last inspection. Staff on duty during the inspection were able to meet the needs of residents. EVIDENCE: Rotas were supplied to the inspector, showing which staff were on duty during the day and night, and in what capacity. Since the last inspection, ten care staff have left, some without giving notice. New staff have been recruited and are awaiting Criminal Record Bureau (CRB) clearance. Staff shortfalls are being made up by deploying staff from a sister home. Staff on duty agreed they were sometimes very busy but none felt that this had impacted on the quality of care residents received. The home has not been able to meet the target of 50 of staff achieving National Vocational Qualification (NVQ) because of the high staff turnover. Training planned for the next six months includes infection control, safeguarding adults, administration of medication, dementia awareness, death and dying, managing behaviours, moving and handling, fire safety and evacuation, first aid and health and safety. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 17 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): 33, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Standards 32,35, 37 met at last inspection. The acting manager actively seeks feed back from residents. Service user surveys are to be implemented in the near future. Formal supervision is planned. Staff are trained in safe practice. EVIDENCE: Residents confirmed that the acting manager visits them each time she comes on shift, asking after their health and welfare. Several residents said they would feel confident in raising any concerns or complaints with her. No preinspection questionnaires were returned but residents say staff do ask for their preferences and wishes. The group matron has tried to introduce residents’ meetings but there has been little response from residents or relatives. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 18 No supervision has taken place since the last inspection because there has been no manager in post. The acting manager and group matron have plans to start formal supervision and self-appraisal in the next two weeks. This will cover all aspects of practice, the philosophy of care in the home and career development needs. Health and safety measures are in place in the home to safeguard staff and residents. Hazardous substances are safely stored, in compliance with Control Of Substances Hazardous to Health Regulations (COSHH). Staff are trained in fire safety, first aid, moving and handling and infection control. Risk assessments are carried out where necessary and outcomes recorded. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 19 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 3 3 X X 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 3 X 3 Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 20 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 OP36 Good Practice Recommendations It is recommended that staff supervisions should take place at least six times per year. Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Wyngate Rest Home DS0000002481.V299680.R01.S.doc Version 5.2 Page 22 - 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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