Inspection on 03/12/08 for Wyvern Lodge - WSM

This inspection was carried out on 3rd December 2008.

CSCI found this care home to be providing an Adequate service.

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

Wyvern Lodge - WSM 14/04/08

Wyvern Lodge - WSM 22/10/07

Wyvern Lodge - WSM 20/12/06

Wyvern Lodge - WSM 09/03/06

Wyvern Lodge - WSM 20/07/05

Wyvern Lodge - WSM 01/12/04

Wyvern Lodge - WSM 16/08/04

Wyvern Lodge - WSM 23/03/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wyvern Lodge - WSM 154 Milton Road Weston Super Mare North Somerset BS23 2UZ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Melanie Edwards     Date: 0 3 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Wyvern Lodge - WSM 154 Milton Road Weston Super Mare North Somerset BS23 2UZ 01934413388 01934413388 wyvern_lodge.wsm@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Pauline Ann Johnson,Mr Brian Edwin Johnson care home 16 Number of places (if applicable): Under 65 Over 65 16 old age, not falling within any other category Additional conditions: 0 May accommodate one named person under 65 years for respite care. This condition is specific to one person and will lapse when the person reaches 65 or leaves the home. Date of last inspection Brief description of the care home Wyvern Lodge is registered for up to 16 older people. It is situated in a residential area, near accessible local amenities. The bus stop to the town centre and sea front is just outside the home. Wyvern Lodge provides day care for up to 5 people each day. Most of the accommodation is in the original part of the building but some rooms are in a ground floor wing at the rear. The home has a passenger lift. There is a small, secluded garden with seating to the rear of the home. The fees to stay at the Home are around 400 pounds a week. Care Homes for Older People Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We met nine of the twelve residents living at the home. We joined a small group of residents for lunch. We met the owner Mr Brian Johnson and the registered manager Mrs Ferguson. We also met two care assistants and a cook. We found out about their roles and responsibilities their training needs and how they assist and support residents. Care Homes for Older People Page 5 of 25 We saw residents being assisted with their needs by staff. We looked at a selection of records relating to the daily running and management of the home These included, the statement of purpose, the service user guide, assessments, care records, activities information, menus, the complaints record, fire testing records, staff rotas, staff recruitment and training records. We saw the majority of the environment the only areas that were not viewed were three bedrooms. The home was operating within the required conditions of registration set down by us. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can get hold of good information to make an informed choice about living at the home. Residents needs are being assessed. The home does not provide intermediate care. Residents are not provided with intermediate care at the home. Evidence: We looked at a copy of the service users guide and statement of purpose. We found that both documents contain helpful information in them about the service provided, the qualifications of the staff employed and the accommodation. The philosophy of Care Homes for Older People Page 9 of 25 Evidence: care in the home and how the service aim to meet residents needs is also written about in good detail. We saw a copy of the complaints procedure in the service users guide so residents know how to complain about the service. Each resident is given their own copy of the service users guide so that they have available to them information about the service they can expect. The statement of purpose and the service users guide have been updated since the last inspection. They now clearly tell the reader our new address if people need to contact us. We read in depth two assessment records to see how well needs are assessed. We saw there were reasonably detailed assessments in place of each residents range of needs. The assessment records showed the residents had been consulted with to find out about their range of physical, mental and social needs. We saw evidence in residents assessment records that demonstrated assessment records are regularly reviewed. We read two risk assessment records and we found that these were satisfactorily detailed about how to assist residents to stay safe and to minimize risks. Residents are not provided with intermediate care at the home . Care Homes for Older People Page 10 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are well met. Residents care plans set out how needs are met. Residents are treated well their dignity and privacy is maintained. The practices and procedures for handling residents medication are mostly safe. However improvements need to be made in recording what medications are given to residents. Evidence: We had a detailed look at two residents care plans to find out how their care needs are met. We saw information in them to show how to meet the residents physical social, and communication needs. The care plans contained in them a satisfactory level of information to show how to meet each residents range of needs. We saw as well, written information that demonstrated care plans are reviewed and updated regularly. Care Homes for Older People Page 11 of 25 Evidence: We looked in detail at the practices and procedures for giving residents medication and for the storage and disposal of it. We looked at five residents medication administration charts in detail. We saw a photograph of each resident kept with the chart for identification purposes. The charts we saw were reasonably clearly written. However we saw entries written by staff at the home for medication to be given that did not set out each named medicine that the person was to take. The staff had written, give contents of the dosette box. These entries on the charts had not been signed for by staff. The date that medication was to start had not been written on the charts. The medication stock we saw was generally satisfactorily organised. There was a satisfactory system for ordering and receiving medication and the records were up to date. Medication stock is stored in a cupboard in a metal drugs cupboard kept secure. We saw a carer give residents their medication at lunchtime. We noticed that the carer was calm and patient and took time with each resident to make sure they had their medication. As was also applicable at the last inspection we saw information in care plans to show the GP, the dentist, and the chiropodist support residents with their physical health care needs. We were told that the staff contact the GP without delay if they have a health problem. We saw the staff on duty helped residents with their needs and spoke to them in a very polite and very respectful way. The residents who we met all spoke really positively about the staff. They told us, nothing is too much trouble for them and the staff are chatty and caring. We saw staff knocking on bedroom doors before entering them. The residents who were consulted spoke very positively about the attitude of staff. They told us staff are polite, kind and courteous to them. We were told by the residents that they know staff very well and see staff as almost like family. Residents have their own key to their bedrooms and many of the residents chose to lock their doors for extra privacy. Care Homes for Older People Page 12 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with a well cooked choice of diet. Residents can take part in a variety of low key social and therapeutic activities. However there should be more emphasis on offering residents the chance to go out now and again. Residents are well supported to receive visits from family and friends. Residents are given good opportunities to have choice and control in their daily lives. Evidence: Residents can do a range of low key activities in the home. Activities that are planned for the near further include arts and crafts sessions, games, musical afternoons and gentle exercise classes. While residents and visitors told us that they appreciate what goes on in the home, they also said they would really like the opportunity to go out from the home now and again. Residents said they like to get to the shop or out for some fresh air. The home have booked an outing over the Christmas season to a Care Homes for Older People Page 13 of 25 Evidence: garden centre. This is a really good opportunity for the residents to enjoy themselves away from the home. We discussed with the manager and owner the request by residents that they have more chances to go out now and again. We met two visitors to the home. They said that the staff are really welcoming and they can come to see people who live there when very they like. We took the opportunity to have some lunch with the residents. We had a meal of stewed beef in gravy with potatoes and three cooked fresh vegetables, followed by choices of deserts. Our meal was tasty and well presented. When we asked the residents they were really positive about the food that they have at the home. We looked at the residents menu to find out if residents are provided with a well balanced diet. We saw meal options that were nutritionally well balanced and varied. We saw choices available each day and staff ask residents what they wish to eat each day. We were told that special diets can be catered for and there are a special meals provided for residents if required. When we asked the residents they told us they choose what time they get up and what time they go to bed. Residents said they are asked about the meal options and their likes and dislikes. There are residents meetings held in the home. We saw the minutes of the last meeting and we could see that these are a good way for residents to have choices and some autonomy in the home. Care Homes for Older People Page 14 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents complaints will be dealt with well and taken seriously by the home. Residents are satisfactorily protected from harm and abuse. Evidence: We saw a copy of the homes complaints procedure in the reception area. The procedure includes our details for anyone who wants to contact us. How to contact the owners of the home is also explained if people wish to contact them directly to make a complaint. The residents told us they see the manager and the owners almost every day. We were told that all of them are very approachable and will listen and sort out any of their concerns. We were told the owners and the manager always take concerns seriously. This shows us the home welcomes and responds positively to complaints. When we looked at the staff training records we saw that the staff team have done training to ensure they are up to date in their understanding of the principle of safeguarding residents from abuse. The staff demonstrated a good understanding of what to do to protect the residents from harm. The home has a policy that it follows in the event of an allegation of abuse in the home although we did not look at this during the inspection. Care Homes for Older People Page 15 of 25 Evidence: Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is kept clean and satisfactorily maintained. The home is suitable for residents to live in and has the necessary adaptations and equipment in place. Evidence: Wyvern Lodge Care Home is a large house built over three floors that can be reached by stairs or lift. The building is an older residential property in weston super mare. It is situated close to Worle village, to local shops, a church and a park. Residents have use of either a main lounge leading onto a sun lounge and a dining room. We saw that residents looked really relaxed and very comfortable. There is a toilet and bathroom on each floor and three of the bedrooms have an en suite toilet. We saw that bedrooms have been made to look personalised to reflect the tastes of residents. We noticed photographs mementos and small items of furniture in residents bedrooms. The standard of furniture and fittings was saw was satisfactory and homely Care Homes for Older People Page 17 of 25 Evidence: looking. We found the home was clean and tidy in all of the areas that we saw. Radiators are fitted with low surface temperature covers. Windows are restricted and this all helps to make the environment safer for the residents. There are hot water temperature regulators fitted to all hot water outlets to which residents have access and these are routinely tested. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are cared for by a sufficient number of competent and supportive staff. Residents are cared for by staff who do some training and have a good understanding of their needs. Residents are protected by the homes recruitment procedures. Evidence: We looked in detail at the staff duty record for November to see if residents are cared for by enough staff. There are two care staff on duty as well as at least the manager or one of the owners working during the day. There is two care staff on duty at night who work a sleep in duty and are available if needed. Mrs Ferguson the manager works thirty two hours a week. As we have already said in the report the staff we saw were warm and kind in manner when supporting the residents. We checked the staff recruitment records to see if the home do employment safety checks on staff before they start work. We looked at the record of the two newest members of staff. The two members of staff records contained a protection of Care Homes for Older People Page 19 of 25 Evidence: vulnerable adults check a Criminal Records Bureau check and two written references. There is training run by nearby Colleges for care staff in National Vocational Qualification in care award training. The majority of the staff team have finished this training or are working towards it. We looked at the training records of the staff team to see if staff keep up to date in their knowledge of the needs of residents. We saw evidence that staff had attended training sessions and updating training over the last twelve months. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is well run and managed. Residents finances must be looked after better. The health and safety of residents is satisfactorily protected. Evidence: Mrs Ferguson has been the manager of the home for two years. She has many years of experience caring for people with a range of needs. She is registered with us as the manager of the home. This demonstrates to us that she is considered fit and competent to be the manager. Residents told us that, Carol(Mrs Ferguson) is very approachable and would always try and help them. We saw the homes quality assurance system that is used to check on the quality of the Care Homes for Older People Page 21 of 25 Evidence: care and the service residents receive. Residents and families are encouraged to complete regular surveys about the service and the home. We randomly checked three residents finance records. Two of the records were detailed, up to date and satisfactorily maintained. However cash had been borrowed from the third residents money with an owing note left. The money was paid back that day. We saw written evidence in staff training records to show that staff do training in health and safety including first aid, food hygiene training and moving and handling practices. This should help protect residents health and safety if staff are knowledgeable and well trained in these health and safety principles and practises. We checked the fire logbook records and it showed fire alarm tests are being carried out. There are also fire drills carried out on a regular basis to help protect the health and safety of residents and staff. We found that the kitchen was tidy and organised. We saw evidence that checks of kitchen fridges and freezers are maintained to ensure they are operating within food safety guidance levels. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 9 13 Medication charts must clearly state what medicines that residents are being given. Health and wellbeing of residents. 07/12/2008 2 35 13 Residents money must only 10/12/2008 be spent by them or on their behalf. Financial protection. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 Offer residents more frequent opportunities to go out from the home and visit the community if they so wish. Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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