Inspection on 07/06/07 for Wyngate Rest Home

This inspection was carried out on 7th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wyngate Rest Home 23/06/06

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 Unannounced Inspection 10:00 7th June 2007 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.V338005.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.V338005.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 info@wyngatecarehome.co.uk Mr Stephen John Croudace ** Post Vacant *** Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd June 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, which is accessible to residents. The home has a wheelchair accessible mini bus, for trips out and health appointments. Fees range from £348 to £434 per week. Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced visit to the home. It formed part of a key inspection, which included a review of all the information known about the home. All key standards were inspected. Prior to the visit, 12 residents ‘Have your say about’ questionnaires were received and comments from these have been used throughout this report. The site visit consisted of case tracking a sample of four people’s records, talking to three of them, and observing staff interaction with residents. We spoke to people throughout the inspection and have included their remarks in this report. We spoke to four care staff and the acting manager. No visitors were present during the visit. What the service does well: What has improved since the last inspection? What they could do better: Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 6 Not all staff were receiving regular supervision. This need to be improved to ensure staff comply with best practices and apply policies and procedures at all times. Present staff shortages are covered by deployment of staff from another home in the group. Suitable permanent staff should be employed as soon as practicable. 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. Wyngate Rest Home DS0000002481.V338005.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.V338005.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): 1,3. 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have access to a range of information to help them make a decision about moving into the home and are involved in an assessment of their needs prior to being admitted. EVIDENCE: Seven ‘Have your say about’ questionnaires showed that residents were given enough information about the home and were able to visit the home before deciding to move in. One commented, “I liked it as soon as I saw it”. Five people had moved to the home straight from hospital and had been unable to visit before moving but told us that their families had done so on their behalf. Prospective new residents’ needs are assessed before they move to the home to ensure that individual needs can be catered for and the acting manager Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 9 writes to confirm this. Assessments also contain a brief social history of people’s interests, experiences, likes and dislikes, social contacts and anything particularly important to them. All stays are on a month’s trial basis to determine whether people will be happy living in the home. The home does not offer intermediate care. Wyngate Rest Home DS0000002481.V338005.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 good. This judgement has been made using available evidence including a visit to this service. Care plans are clear and help staff provide appropriate care for residents. Care is given with regard for the residents’ health needs, well being, privacy and dignity. EVIDENCE: Residents have individual detailed care plans, which are reviewed monthly. The plans give details of how a resident should be cared for and include their individual preferences. Individual specific health care needs are assessed and planned in the form of risk assessment and include moving and handling, nutrition and continence management. Medication records are completed appropriately and staff are supported by a number of medication policies, which guide them to administer and store medications safely. Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 11 During the visit we saw that 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 told us that the necessity to treat residents with respect at all times had been stressed during induction. Staff support residents who need help to eat by sitting at the table with them in the dining room and giving help discreetly. Wyngate Rest Home DS0000002481.V338005.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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can enjoy various activities and are supported to continue with hobbies they enjoyed before moving to the home. Residents decide who visits them. Dietary needs and preferences are catered for. EVIDENCE: Residents made very positive comments regarding the activity programme in the home. 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 if they have other ideas for leisure activities. Residents told us there is more going on in the home now. One person said, “I was bored stiff living at home. I really appreciate the company and the chance to do things”. Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 13 Residents said that visitors were always made welcome, although none were present during the inspection. They are able to see their visitors in private. Residents are able to go to the village in a wheelchair with a carer if they wish. Other options are trips to church, bingo halls or garden centres. People told us they liked the meals at the home. They said, the meals are very satisfying, “splendid in variety”. Menus are on a three-week cycle and we saw copies. They offered variety and residents told us that alternatives were always available. The cook was aware of dietary needs and residents’ preferences. Wyngate Rest Home DS0000002481.V338005.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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory procedures for handling complaints and people felt confident that any concerns would be addressed appropriately. Residents are protected by the home’s procedures for handling allegations of adult abuse. EVIDENCE: The home’s complaints procedure tells residents and relatives how to make a complaint and how it will be handled. A copy is given to all new residents as part of the Service User Guide and one was on display in the home. Records showed that no complaints had been received during the past year. People told us that they knew how to make a complaint and would feel comfortable in approaching staff if there was a need. The home’s adult protection policy is in line with current local guidelines. Records and staff comments showed that staff had received training in this subject. Wyngate Rest Home DS0000002481.V338005.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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home live in a clean, comfortable and homely environment. EVIDENCE: The home is furnished, decorated and maintained to a very high standard. Furniture and fittings are domestic, giving a comfortable homely feel. One person commented, “The carpets, curtains and bedding are particularly carefully chosen for colour, and chairs are beds are comfortable”. Another said the home was, “scupulously clean”. There are no grab rails along the corridor. This has been discussed in previous inspections. The acting manager and group matron asked residents for their views. The majority of residents are not independently mobile, using rollators Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 16 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 by the acting manager, who said it will be kept under review. All returned surveys said the home was always fresh and clean. A team of three housekeepers told us they took pride in keeping the home as clean and pleasant as possible. The home smelt very fresh during our visit; the acting manager confirmed that the carpets are cleaned every week. Wyngate Rest Home DS0000002481.V338005.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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s systems ensure that residents are cared for by staff who are robustly recruited and trained. EVIDENCE: The home has a good recruitment procedure in place. We looked at four staff files. All included an application form, two satisfactory written references and a CRB (Criminal Records Bureau) certificate. Records showed that no one had started work before satisfactory CRB checks had been received. We saw rotas showing which staff were on duty during the day and night, and in what capacity. Staff on duty agreed they were sometimes very busy but none felt that this had impacted on the quality of care residents received. Since the last inspection, several care staff have left, some without giving notice. The acting manager has recently held interviews and hopes to appoint new staff in the very near future. Deploying staff from a sister home is making up current staff shortfalls. Records and staff comments confirmed that all staff received essential training in health and safety, manual handling, administration of medications, abuse awareness, and Parkinson’s awareness. Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 18 The acting manager encourages staff to attain an N.V.Q. (National Vocational Qualification) course in care. This course helps to give carers the knowledge and skills to provide a good standard of care. The home has not been able to meet the target of 50 of staff achieving NVQ because of the high staff turnover. Residents and relatives said that they were very happy with the way staff delivered care; they told us, “The staff are very kind. They are all lovely”. Wyngate Rest Home DS0000002481.V338005.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): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff don’t get the regular supervision they need to provide them with the support and help do their job confidently. EVIDENCE: Staff told us that the acting manager is approachable and encourages a team spirit within the home. Residents said she spoke to them all whenever she was on duty, asking about their health and general welfare. They all said they would feel confident in raising any concerns with her. At the time of the last inspection the home had no registered manager. The acting manager told us she had recently applied to become the registered manager and we were given a copy of her completed application. Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 20 Residents told us they were always asked for their opinions and preferences. There had been little response to the residents’ meetings the group matron had tried to set up. However, returned surveys showed that people knew who to speak to if they weren’t happy. The business administrator supports residents unable to manage their own finances. These are administered appropriately with two signatures and receipts being recorded for each transaction. We checked a sample of monies. All were found to be correct. One resident raised a query with us about personal allowances. This was discussed with the acting manager and the resident was satisfied with the full explanation given. Records showed that staff had not received regular appraisals or supervision sessions. The manager said she had started a programme of supervision but only a few staff had received formal supervision so far because of high staff turnover. She was aware that this was something that needed addressing and told us she expected that all staff would soon have regular supervision. Residents are protected by good health and safety measures. Records showed that servicing and maintenance checks in relation to fire equipment, gas appliances and electrical installation had been carried out. Staff had received mandatory training and had a good working knowledge of fire safety, first aid, moving and handling and infection control. Risk assessments are carried out whenever necessary and outcomes recorded. Wyngate Rest Home DS0000002481.V338005.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 1 X 3 Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001, and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP36 Regulation 18 (2) (a) Requirement The acting manager must take action to ensure staff are appropriately supervised. This will support staff and ensure that policies, procedures and best practices are employed. Timescale for action 17/09/07 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 Wyngate Rest Home DS0000002481.V338005.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Wyngate Rest Home DS0000002481.V338005.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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