Latest Inspection
This is the latest available inspection report for this service, carried out on 26th April 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Inwood House.
Annual service review
Name of Service: Inwood House The quality rating for this care home is: The rating was made on: two star good service 1 6 1 2 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Tony Railton Date of this annual service review: 0 5 0 3 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service
Address of service: 142 Wakefield Road Benton Hill Horbury West Yorks WF4 5HG 01924272159 01924266564 richard@inwoodhouse.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Ms Deborah Nightingale Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Mr Richard J Barraclough,Wendy Patricia Barraclough Number of places (if applicable): Under 65 Over 65 0 0 0 0 35 35 35 35 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Inwood House is situated on the main road close to the centre of Horbury approximately two miles from Wakefield. Set back in its own grounds the large Victorian house provides personal care for up to
Annual Service Review Page 2 of 8 1 6 1 2 2 0 0 8 35 older people who may also have dementia, mental health needs or physical disabilities. The home provides mostly single accommodation, however there are some bedrooms available for those that wish to share. There are six lounges including a large television lounge and smaller quiet lounges. There are handrails throughout the building. There is also a passenger lift and a number of assisted baths for the use of people who have difficulties with mobility. The home is on a main bus route and there are shops a few minutes walk from the home. The centre of Horbury is close by with easy access to all local facilities and amenities. The home is also close to the M1/M62 link roads. The service provider makes sure that information about the service is available to people who are thinking about moving into the home, people already living there and their relatives and representatives. On 26th February 2010 the provider said the fees for living in the home are £445.00 per week. This information can be found in the homes statement of purpose and service user guide and through Care Quality Commission reports, or by emailing richard@inwoodhouse.co.uk Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: 1. The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. 2. Surveys returned to us by people using the service, their relatives, staff working at the home and professionals who visit there. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service including scanned images from complement letters received by the home. 8 The home and the services it provides were also discussed with the Registered Manager and the Service Provider. 9 Up to date copies of the staff training records and in particular the staff training Matrix were considered. 10 An up to date copy of the homes 2009 BS EN ISO Quality Assurance Standard audit tool was also considered. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment and it detailed and provided information about the home and the service it provides. We looked at this and other information and concluded that the home is still providing a good service and continues to look at ways of improving the lives of people living in the home. The Annual Quality Assurance Assessment shows us where improvements have been made as a result of listening to peoples views and acting on them. For example, menu options are continually changed to suit individual tastes. One returned survey says The meals provided are excellent The decor and furnishings have been updated in accordance with peoples preferences. Annual Service Review Page 4 of 8 A new safe patio area has been developed so that people can sit outside. One person enjoys watching birds in the garden and a bird table and feeding station has been purchased to enhance this. There has also been an increase in staffing levels and this has led to more social activities for people to take part in. One returned staff surveys says, The home has a very friendly and relaxed atmosphere. Staff are very good at listening to and carrying out personal needs and cares. Information also tells us how the home addresses equality and diversity issues. For example, the Service User Guide that provides information about the home is now available in large print format to help people with visual difficulties to read it. One returned relatives surveys says I believe my mum is receiving a very good care service from the staff in the home. Although she has trouble communicating her needs the staff take time to understand her and respond accordingly. One person has family overseas and keeps in touch with them through e-mail access. People also have telephones in their bedroom so that they can make calls in private. We spoke to the manager of the home who explained that she and the registered providers had attended some training about Deprivation of Liberty. This is to make sure that people in the home have their human rights protected. Handouts about this have been given to all staff and is discussed within staff meetings and supervision. The manager said that Mental Capacity Assessments are included in the care plan information and includes how decisions have been taken in the best interests of the person. The Annual Quality Assurance Assessment told us that areas raised from previous inspection reports and external audits have now been met. The home has introduced the BAPEN MUST (Malnutrition Universal Screening Tool) model which is an assessment tool used to assess people to determine if they may be at risk from malnutrition or dehydration. The use of the tool indicates that the home is committed to providing support based on current good practice. There have been improvements in accessing advocacy services at an earlier stage for people who may need support with their decision-making. One visiting District Nurse writes The staff are friendly and caring and know their clients they go on to say, the staff have good communication and listening skills and have a good liaison with District Nurses working in the best interests of clients. The nurse call system has been updated and improved so that it includes an automatic caller alert when appropriate. This means people do not have to press a call button for assistance and is particular useful for people with communication difficulties. Questionnaires have been sent out to people living at the home, their relatives and to professional visitors, and the outcomes are published in the Service User Guide including any actions that are taken as a result of peoples comments. Inwood House has held the BS EN ISO Quality Assurance Standard since 2002 and continues to comply in meeting the required standards for the benefit of people living
Annual Service Review Page 5 of 8 in the home. The majority of staff have now achieved NVQ (National Vocational Qualification) at level 2 or above and staff turnover has reduced and is now minimal so people are receiving consistent care from staff who know them. The home has received four internal complaints since the previous key inspection visit and these were all dealt with in the agreed timescales. The Annual Quality Assurance Assessment states that comments from questionnaires returned from people at the home, relatives and visiting professionals were especially positive about the way complaints had been dealt with. To make sure people are protected from any kind of abuse records show staff have attended Safeguarding training. Two incidents had been referred to the local authority as safeguarding referrals so that appropriate action could be taken to protect people at risk of possible harm. A copy of a thankyou letter from the Wakefield Director of Social Services shows the home cooperates with and works alongside the local authority to provide a good quality service. The returned surveys from the District Nurses show they also have a good working relationship with the community based health care professionals. The service has a good relationship with the Care Quality Commission and keeps us informed about things that have happened in the home. For example, earlier in the year there had been an outbreak of diarrhea and vomiting in the home. Appropriate action had been taken in response to this and outside agencies had been contacted for advice so that proper procedures were followed to minimise any risks to people. The home informs us about other incidents that have occurred. One person has had a number of falls this year. This was discussed with the manager who explained that this was due to the person trying to mobilise independently when unable to do so safely. Investigations have taken place to look at possible reasons for the falls and measures have been put in place to minimise the risk of further falls. The manager said that the person has recently been more settled and receives regular visits from the GP (General Practitioner) to monitor progress. One returned survey from a Community Staff Nurse says Clients are well cared for and if carers are concerned they will contact the relevant professionals promptly. One relative in a returned satisfaction survey says,We are very happy with the care our mother receives at Inwood. The staff under the competent and professional eye of the owners and manager are efficient, friendly, person centered and caring. Our mother is contented and safe, and considers Inwood to be her home. We cannot commend the home highly enough. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 This Annual Service Review confirms the service Two Star rating which means people living in the home continue to experience good quality outcomes. We do not plan to visit the service, however, we can visit the service at any time if there are any issues or concerns raised about the services provided. Annual Service Review Page 7 of 8 Reader Information
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