Inspection on 09/03/06 for Wyvern Lodge - WSM

This inspection was carried out on 9th March 2006.

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

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

Other inspections for this house

Wyvern Lodge - WSM 03/12/08

Wyvern Lodge - WSM 14/04/08

Wyvern Lodge - WSM 22/10/07

Wyvern Lodge - WSM 20/12/06

Wyvern Lodge - WSM 20/07/05

Wyvern Lodge - WSM 01/12/04

Wyvern Lodge - WSM 16/08/04

Wyvern Lodge - WSM 23/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wyvern Lodge - WSM 154 Milton Road Weston Super Mare North Somerset BS23 2UZ Lead Inspector Catherine Hill Unannounced Inspection 9th March 2006 10:10 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 Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 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. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wyvern Lodge - WSM Address 154 Milton Road Weston Super Mare North Somerset BS23 2UZ 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) 01934 413388 NONE Mr Brian Edwin Johnson Mrs Rosemary Eileen Curtis, Mr Clifford John Curtis, Mrs Pauline Ann Johnson Mrs Rosemary Eileen Curtis Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 20th July 2005 Date of last inspection Brief Description of the Service: 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 new ground floor wing at the rear. The home has a passenger lift. There is a small, secluded garden with seating. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the course of one morning and focused on spending time with the residents, discussing their quality of life at the home. The inspector also spent time with some of the staff on duty, and with the manager and her deputy, and sampled some of the records relating to residents personal care and to staff pre-employment checks. The inspector spoke to several of the residents individually and in the privacy of their own rooms, but also spent time in the lounges with different groups of residents. Everybody was really positive about the home, and residents were warm in their praise of staff. Several people gave the inspector examples of the way staff have gone above and beyond the call of duty to make sure they are happy and comfortable. Residents are regularly consulted about all sorts of aspects of their lives, and the management of the home is particularly transparent. There is some sort of in-house activity every weekday, and regular trips out are also organized. Staffing levels allow staff to spend time chatting with residents and to work creatively. The environment is very comfortable and homely, and basic provisions such as food and toiletries are high quality. The records seen were generally up-to-date, clear and informative. Care plans and task lists give clear guidance to staff on what they should be doing. Staff employment records need more detail, and the manager took action during this inspection to address this. What the service does well: The home has a particularly happy and relaxed atmosphere, and benefits from a really committed staff team. Residents are given a good degree of choice and freedom, and staff are given good support to develop their skills. Residents were evidently extremely happy with the service they receive. They described flexible support from staff and were enthusiastic about the level and type of activities available. Most of the outings and activities are free of charge. Residents said that the food is generally very good and that they get good support with their personal care needs. Comments residents made about the staff included, “They’re all so friendly”, “It’s lovely here - they’re all very nice”, and “They’re very attentive”. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 6 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. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 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 Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not assessed at this inspection. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 Residents care needs are well documented and well met. EVIDENCE: Care plans and associated documentation are excellent, giving really clear information on each aspect of the persons life, and helping to promote good and consistent practice among the staff team. All of this documentation is being reviewed every month, and any updates are clearly noted. Residents are fully involved in drawing up their care plans and agreeing how their needs will be met. A good range of risk assessments is in place for each person. Most of those sampled indicate low risk. Where a higher level of risk is identified, the assessments included the actions to be taken to reduce the risk to an acceptable level. The more dependent people all looked well groomed and comfortable. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 10 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): 12-15 Residents are well supported to follow the lifestyle of their choice, and get good opportunities to join in a wide range of interesting activities. EVIDENCE: Personal care support is given at times and in ways that suit residents own preferred routines as far as practicable. One person described how staff had stepped up the level of support offered during a period of illness, tactfully ensuring she had all she needed without making her feel her independence was being compromised. Many of the residents and staff with whom the inspector spoke said how happy they are at the home. People feel valued and treated as individuals. The inspector was given several examples of how the management staff have worked with individual staff to boost their confidence and skill. A good range of activities and outings is laid on, and residents are kept informed by means of regular meetings and colourful posters on the noticeboard. The activities and outings organized by the home are free of charge: residents are only occasionally asked to contribute towards the costs of any additional trips they request. Residents are regularly consulted about Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 11 what kind of thing they would like planned. Exceptionally thorough records are kept of all the activities offered. Residents were very positive about the choice and quality of the meals offered. A late evening sherry is routinely offered to those residents who are still up. Food supplies in the fridge and cupboard showed that good quality provisions are used. The linen store and household goods stores showed that other essentials are also high quality. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These standards were not assessed at this inspection. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 13 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): 19-21, 25-26 The environment is homely and well suited to residents needs. EVIDENCE: The whole home has been redecorated over the past couple of years, and all areas seen were fresh and welcoming. A regular programme of maintenance and improvements helps to keep the home environment pleasant and comfortable. There is a pleasant main lounge, leading onto a sun lounge and dining room. As one resident said, its nice to have the two lounges - you can sitting here in chat if you dont want to watch the telly. There is a toilet and bathroom on each level of the home, and three of the bedrooms have an ensuite toilet. Each bedroom is above the minimum size of 10 square metres and is fitted with a safety lock. There is a small patio garden towards the back of the home with ample seating and shade. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 14 All bathroom and toilet locks worked with the exception of the one on the top floor. The manager said that she would have this repaired promptly. The staff sleeping-in room doubles as the hair dressing room so that residents can have their hair done away from the public areas of the home. Low surface temperature radiator covers are fitted to all radiators, and every window is fitted with a restrictor. The hot water outlets that are accessible to residents are fitted with temperature regulators. All areas of the home were very clean and fresh, and several residents confirmed to the inspector that this is the normal standard. The cleaner was well aware of how to use cleaning chemicals safely, and a copy of essential information on the cleaning products in use was kept accessible in the firstfloor linen cupboard. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 29 Staff levels are ample to meet residents’ needs but recruitment practice is not sufficiently thorough to ensure residents’ safety. EVIDENCE: Staffing levels at the time of this inspection reflected those on the rotas. There were two senior staff on duty, a carer, a cleaner and a cook. Residents did not have to wait for help, and no-one was under pressure to get tasks done in a hurry. Staff went about their tasks efficiently but taking time to pause and chat with residents. The carer engaged residents in a game of catch after morning coffee, and managed to skilfully make people feel included. Everyone enjoyed the game and the amusement it provided. Most of the pre-employment checks required on prospective staff are being carried out and recorded but there was no evidence on file that the preemployment criminal record check had been carried out on a new member of staff. Although the deputy manager said that she had phoned to request the PoVA First check, no note had been made of this, and there had been no follow-up when the check was not returned. This staff member had been allowed to start work in the home without this vital check being satisfactorily completed. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 16 This requirement was discussed at the last inspection. The inspector advised today that a record is kept of the dates all checks are sent for and returned, and reminded the manager that staff must not work in the home without all pre-employment checks being satisfactorily completed. The manager designed a checklist during this inspection to be kept on the front of all staff files as a prompt to follow up any outstanding issues before the person starts work in the home. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not assessed at this inspection. Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 X 17 X 18 X 3 3 2 X X X 3 3 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 19 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 OP29 Regulation 19 Requirement Staff must not work in the home until all pre-employment checks have been satisfactorily completed and the evidence filed in the home. This requirement was first made on 20/07/05. The lock on the top floor bathroom needs to be repaired. Timescale for action 09/03/06 2. OP21 23 16/03/06 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 Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Wyvern Lodge - WSM DS0000055608.V277987.R01.S.doc Version 5.1 Page 21 - 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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