Inspection on 23/08/05 for Wynhill Lodge Short Break Service

This inspection was carried out on 23rd August 2005.

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

Wynhill Lodge Short Break Service 09/08/07

Wynhill Lodge Short Break Service 09/10/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Wynhill Lodge Short Break Service Wynhill Court, Forest Road Bingham, Nottinghamshire, NG13 8RL Lead Inspector Judith Avill Unannounced 23 August 2005 @ 4.15 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wynhill Lodge Short Break Service Address Wynhill Court, Forest Road, Bingham, Nottinghamshire, NG13 8RL 01949 838492 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Philip Gordon Bradley Mrs Jane Wardle Care home only (PC) 10 Category(ies) of Learning disability (LD) registration, with number of places Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users shall be within category LD Date of last inspection Brief Description of the Service: Whynhill Lodge is a registered care home providing short term breaks to 10 adults with learning disabilities. The home is situated in a residential area in Bingham Nottinghamshire. The building is secure and has an enclosed garden area. Accommodation comprises of 10 bedrooms with en-suite facilities, two of which are adapted for service users with physical disabilities. There are two lounge/dining rooms with kitchen facilities, a well equipped sensory room, main kitchen and adapted bathrooms and toilet facilities and laundry room. The building is well maintained and furnishings, fittings adaptations and equipment are of good quality. The home is owned and managed by the Local Authority. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was the first of two unannounced Inspections to be carried out between April 2005 and March 2006. The inspection lasted for 3.00 hours and the main focus of Inspection was called ‘case tracking’ which involved selecting residents and tracking the care they receive checking through their records and discussing this with them or staff as appropriate. Additional records were seen. Discussion was held with the registered manager, team leader and the Inspector observed care practices. The premises were inspected in detail as part of the 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. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Service users are assessed prior to admission. EVIDENCE: Service users files viewed evidenced details of assessment prior to admission records seen were clear and well maintained. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 Care plans reflect needs of individual service users. Service users are involved in the development of care plans. Risk assessments were not maintained up to date. EVIDENCE: Care plans do not contain details of specific action to be taken by staff to meet the assessed needs of service users. Records of service users involvement in care plans are well maintained and up to date. A risk assessment following an incident involving a service user was not recorded. ( This was completed on the day following the visit prior to the writing of this report) Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 17 Service users commented on the quality of food. EVIDENCE: The manager reported that the cook works 5 days per week and the food is freshly prepared and ‘blast chilled’. The kitchen was clean, well organised on the day of the visit. Service users spoken with commented that the food was good. Breakfast and light meals are prepared in the kitchen areas in the lounge dining areas. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 The medication policies and procedures do not reflect the practices of the home. EVIDENCE: Medication is administered by a team leader and a care assistant, however the policy and procedure does not reflect this practice. Receipt of medication received for a service user was not recorded. Records of treatment given to service users by health care staff were not signed. The medication room is well organised and record of fridge storage are well maintained. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this inspection EVIDENCE: Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25.2627,28, 29&30 The home is clean and well maintained. Furnishings fittings, adaptations and equipment meet the individual service users needs. EVIDENCE: The home is clean and well organised and has adaptations and equipment for people with learning and physical disability Individual bedrooms have furnishings and equipment to meet individual needs and lifestyles. All bedrooms are lockable and have facilities for personal possessions. Two bedrooms are fitted with specialist equipment for service users with physical disabilities. Shared space for activities and private use is available. During the tour of the building an external door was open with a potential risk for service users and staff. The laundry has systems in place for the prevention of cross infection. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,34,35,36 All staff have clearly defined roles and responsibilities. The recruitment process protects service users. Staff training and supervision is in place to meet service users needs and provide staff support. EVIDENCE: All staff’s are issued with job descriptions and staff roles and responsibilities are indicated on the staff rota. The staff rota provided demonstrated that adequate staff’s are on duty to meet service users needs. Staff files viewed evidenced recruitment includes references and checks on staff are obtained prior to staff commencing work at the home. Records seen and staff spoken with confirmed that mandatory and specialist training is attended. Supervision records are maintained in line with national Minimum Standards. Staff spoken with commented on support from the registered manager and senior manager . Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 &42 The home is well organised. Health and safety documentation is maintained up to date. EVIDENCE: The registration certificate was displayed in the entrance hall to the home. The manager reported application to provide services to service users over 65 years is being applied for. Staff spoken with commented that the manager communicates a clear sense of direction and leadership. Records are secure. Risk assessments are completed for the building and individual service users. (See standard 9). Fire, accident and maintenance records are well maintained. Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x 3 Standard No 31 32 33 34 35 36 Score 3 x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wynhill Lodge Short Break Service Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 16 n/A 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. 2. Standard 20 6 Regulation 13,17 15 Requirement The registered person must ensure that all records are maintained up to date The Registered person must ensure that care plans are developed and identify all the needs of the service users in sufficient detail to enable staff to provide comprehensive care. The registered person must ensure that risk assessments are in place to minimize identified risks The registered person must ensure that the medication policy and procedure reflects practices in the home. Timescale for action 4th October 2005 4th October 2005 3. 9 13 4th October 2005 4th October 2005 4. 20 13 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 Good Practice Recommendations Wynhill Lodge Short Break Service C53 C03 S64092 Wynhill Lodge V243530 230805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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