Latest Inspection
This is the latest available inspection report for this service, carried out on 6th May 2010. CQC found this care home to be providing an Excellent 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.
For extracts, read the latest CQC inspection for Agnes House.
What the care home does well Most people who lived in the home said that staff were friendly and helpful to them and respected their dignity. People said that the food was very good and there was a choice. People said that the home was always clean and fresh and they appreciated this. We witnessed this to be the case. People said that they like their bedrooms, the way they could bring in their own things and organise their bedrooms to their own preferences. People`s activities are recorded with their personal preferences and their personal histories so that staff can provide them with stimulation they like so they do not get bored. What the care home could do better: Care Plans need to be fully detailed as to the cultural needs of all residents to ensure staff can meet assessed individual needs Management need to follow up the small number of comments as to whether the attitude of a minority of care staff needs to be improved. All staff need to be aware of the full safeguarding procedure to keep people safe at all times. Management need to review staff communication to ensure that this works properly to be able to meet people`s needs at all times. Random inspection report
Care homes for older people
Name: Address: Agnes House Wyggeston`s Hospital Hinckley Road Leicester LE3 0UX three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Keith Charlton Date: 0 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Agnes House Wyggeston`s Hospital Hinckley Road Leicester LE3 0UX Telephone number: Fax number: Email address: Provider web address: 01162543008 clerk.wyggeston@zen.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Ellen Marcia Tebbutt Type of registration: Number of places registered: Conditions of registration: Category(ies) : Wyggeston`s Hospital care home 26 Number of places (if applicable): Under 65 Over 65 26 20 5 old age, not falling within any other category physical disability sensory impairment Conditions of registration: 0 0 0 Service User Numbers PD(E) No person falling within category PD(E) may be admitted into the home when 20 persons who fall within category PD(E) are already accommodated within in the home Service User Numbers SI(E) No person falling within category SI(E) may be admitted into the home when 5 persons who fall within category SI(E) are already accommodated within the home Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home The lat key inspection of this service was carried out on 15/8/2007. Agnes House is a purpose built home set in five acres of landscaped gardens. It is situated close to Leicester city centre. It is registered for 26 older people, some of whom have physical disabilities including sensory impairment. Accommodation is on two floors accessed by a passenger lift. There is a large lounge and dining area on the ground floor, which leads to a conservatory overlooking a sensory garden. A further lounge is situated on the first floor. All the bedrooms all ensuite. Agnes House shares some facilities with the adjacent William House, a sheltered housing scheme. These include a chapel, library and meeting room. Current fee levels at the home range from #345 to #540 per week depending on care needs. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Care Homes for Older People Page 3 of 9 What we found:
The key rating for Agnes House is excellent. For excellent services and Care Quality Commission, CQC, has decided to undertake shorter random inspections rather than a full inspection, as we risk assessed the service and there were no current concerns. We undertook the following work: We spoke with seven people lived in the home. Everyone said that staff were friendly and help them whenever they needed assistance, though one person said that a small minority of staff were sometimes impatient. This picture of staff support was also reflected in the current quality assurance questionnaires that people live in the home have completed, as they showed a high level of appreciation for the care that staff supply, though there was one comment that 80 of staff were good and only 20 of staff did not reach this high standard. We asked people about the activities in the home and all the people we spoke to said that they were a number of activities they could choose to do such as music and movement, bingo, computer training from volunteers from the fourth Age project etc, and they were all satisfied with the activities the service provides. In the homes current quality assurance questionnaires there were two people who said that activities were average though they did not supply any more detail as to what they wanted to rectify this. We spoke to two staff members and they both said that the standard of care supplied to the people live in the home and the level of support they receive from management was of a high level. We spoke to a staff member about what to do if abuse had taken place to a person who lived in the home. The procedure as to what to do if the management of the home had not taken proper action was known in terms of contacting an outside agency but the two other relevant agencies that could have been contacted, the Police and the CQC, were not aware of. We looked out the complaints procedure of the service. This stated that people could contact the CQC as the Lead Agency to look into their complaint. In fact the Lead Agency is the local Social Services Department. The Manager stated that this had now been changed. We looked at an accident record, which showed that there was a proper referral to medical services for a person that had a fall. We looked at a persons care plan. In terms of their cultural preferences this showed us that although the persons religion was recorded, not all cultural issues were followed up as the persons preferences with regard to food was not recorded. The annual quality assessment completed by the home stated that there were no policies and procedures relating to working with volunteers and food hygiene. When we enquired further the Manager said that these are in place. Care Homes for Older People Page 4 of 9 We found that the home was clean and there were no odours and that the people we spoke to were appreciative that the home was kept clean. There was evidence that works had been carried out to improve facilities, e.g. there is a new shower room. We saw that there were a small number of areas in the home, in peoples bedrooms and in a corridor, where the paintwork had been damaged. The homes annual quality assessment stated that painting was to take place in the medium term, and this was confirmed by the Manager when she rang us the following day. We receive six surveys from people live in the home, these were overwhelmingly positive about the standard of care provided. I cannot think of anything that could improve the care, support and friendship that I receive at Agnes House. I cannot speak too highly of the home. Very happy with my care. The managerial staff and the carers also thoughtful, kind, and aware of all the needs of their residents. It would be truly wonderful if all residential homes had the same ethos as Agnes House. Personally I couldnt think of a better home. We are kept clean and warm and staff are available if required. There was one other comment from a relative: Residents tend to sit in the same place every day. Maybe a little bit of rotation might help, or to be able to have the option of where to sit. (The Manager stated that people choose where they want to sit). In the six staff surveys we received there were very positive comments about the standard of care provided to people who live in the home and the support they receive from management to do their jobs. There was some comments as to how to improve the service: We need better communication between different shifts. Management need to take into consideration the night staff more as there are only two staff on, and what the day staff say they can manage is only considered. Night staff are never asked how they will cope. Management need to give more notice of courses that are held as we do not know until it is on the rota. The Manager stated that training information is provided in good time though occasionally courses can be accessed at short notice. Employing extra staff in the afternoon so that we can spend more time with the residents feeding is needed. (The Manager said in the AQAA that staffing levels have been increased in the afternoon and this was confirmed in staff meeting minutes, and generally that staffing levels have been reviewed and increased appropriately). Have more staff on the late shift to help get residents to bed. Care Homes for Older People Page 5 of 9 Listen to the night staff more. The home probably needs more equipment moving and transferring residents. The Manager stated that the service has all the necessary equipment in place. I think they could have someone to do activities on a daily basis. The Manager stated that people are consulted on a monthly basis and at each Residents Meeting as to the activities they wish to have. What the care home does well: 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 2. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 18 All staff need to know the full safeguarding procedure so that people can be kept safe at all times. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
