Care Home: The Willows

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What the care home does well The home has a good system in place to enable people to express their views so that they are involved in decisions about how the home is run. The people we spoke to told us that they were happy living at the home and that the staff supported them in the way that they preferred. One person told us, `it has a homely atmosphere and staff are always friendly`. People are encouraged to be independent within a safe and caring environment. Staffwork well with outside agencies to ensure that people receive additional support when it is required. The robust recruitment system makes sure that people who work at the home are suitable to do so. Staff are knowledgeable about the people they support and interact with them in a positive manner. A varied training programme equips staff with the knowledge and skills they require to do their job. What the care home could do better: No requirements or recommendations were made following this inspection. However there were two areas that would benefit from improvement. Information collated as part of the assessment process, especially regarding peoples likes and dislikes, could be incorporated into the care plans better. This would provide staff with a clearer picture of the person concerned and their personal preferences. The arrangements for meeting peoples social needs should be reviewed to make sure that sufficient time is dedicated to providing varied activities that meet individual peoples needs. These arrangements should then be recorded in more detail so that the home can demonstrate that they are offering people appropriate stimulation and their satisfaction with the arrangements. Random inspection report Care homes for older people Name: Address: The Willows 74 Station Street Rippingale Lincs PE10 0SX two star good 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: Dawn Podmore Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: The Willows 74 Station Street Rippingale Lincs PE10 0SX 01778440773 Telephone number: Fax number: Email address: Provider web address: willripp2@aol.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Ellen Floyd Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Ellen Floyd,Mr Anthony Paul Floyd care home 31 Number of places (if applicable): Under 65 Over 65 4 27 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 The Willows is situated in the village of Rippingale, six miles north of the town of Bourne. The village has a pub, shop/post office, church, GP surgery and a village hall. It is within easy reach of Bourne, which has a wide range of shops and amenities. The home is registered for thirty-one older people including up to four who have needs associated with dementia. The original house has been extended and accommodation is provided on two floors. Stairs or a passenger lift enables rooms on the first floor to Care Homes for Older People Page 2 of 10 Brief description of the care home be reached. There are a variety of communal areas including three lounges, a reading room, a sun lounge and two dining areas, one of which has a bar. There are nineteen single bedrooms, two of these having en-suite facilities and three twin bedrooms with en-suite facilities. The gardens are spacious and enclosed. The rear of the property is laid to flower beds and lawns, with a furnished patio area. There is a raised pond, a summerhouse and a barbeque area. The property also has a driveway and car parking area. There is an adjacent building containing offices, a laundry and a large room used as a training venue. At the time of the inspection the manager confirmed that fee rate ranged from £371 £460 per week, depending on peoples assessed needs. Hairdressing and private chiropody are not included in the fees. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, is available at the home. Care Homes for Older People Page 3 of 10 What we found: This was an unannounced random inspection which included a visit to the home, this type of inspection is carried out to monitor how the home is operating. The visit lasted four hours. We also took into account information such as the last key inspection report , the outcome of annual service reviews and records of any incidents that we had been notified of since the last review. We took a partial tour of the building during which we spoke with some residents and staff. We looked at various documentation including, care records, risk assessments and staff records. We also assessed how people had been consulted about the running of the home and the quality of the service being provided. Prior to the visit we also sent out surveys to residents, staff and some of the professionals that visit the home to ask their opinion of how the home was operating, 10 people returned these and their opinions are included in this report. The manager was available throughout the visit and she told us about any changes which have taken place and if there were any risks to the people living in the home. Choice of Home Care records showed that detailed assessments of peoples needs had been carried out prior to them coming to live at the home. Alternatively information had been obtained from other sources such as the local authority to determine if the home was the right place for the person to live. Individual Needs and Choices The care records sampled outlined peoples needs in good detail and contained information about their likes and dislikes and how they preferred their care providing. However this information was not always fully incorporated into the care plans to make the information person centred and easily available to staff. Potential risks had been assessed and minimising strategies identified to keep people safe, while allowing them be as independent as possible. Everyone we consulted said that they were happy with the way care was delivered by the staff, and confirmed that they were involved in planning their daily routines. People told us that their medical and health needs were being met and that they had access to outside agencies, such as doctors and chiropodists. Three surveys were returned from outside agencies all of which contained positive comments about the home and staff. Their comments included, they communicate well and ensure that any advice given is carried out, they treat individuals with respect and meet individual needs well, this is a caring residential home, it is welcoming to new residents and works hard to help them to settle in and Willows continues to provide good care and maintain peoples independence. Medications are being handled safely. The report from a recent inspection by the local pharmacist outlined that policies and procedures were comprehensive and adhered to by Care Homes for Older People Page 4 of 10 staff and that the system worked well. The home also carries out internal audits to check that procedures are being followed. Activities Although there is no dedicated activities person the manager told us that this was currently under consideration and in the meantime care staff were assigned to provide suitable stimulation. People told us that they were happy with the activities provided, but the programme we saw was limited, with few opportunities for people to go out into the community. Documentation did not fully outline what individual people had taken part in and if they had enjoyed it. People said that activities such as clothes shows had taken place and the newly built raised garden bed was to be planted with the assistance of some of the residents. People said that they enjoyed the meals at the home, which offered variety and choice. There is a bar available and some people were enjoying a glass of sherry prior to lunch. The Environmental Health Officer had visited recently and awarded the home 3 stars, five being the highest rating awarded. The manager said that the issues identified in their report regarding documentation had been addressed. Concerns Complaints and Protection The manager said that there had been no complaints over the last year.People confirmed that they knew how to make a complaint and said that they would feel comfortable highlighting any areas of concern if they arose. The home has safeguarding policies to help to keep people safe and tell staff about their role in reporting any concerns. Staff said that they had received training in this subject and were able to tell us about the actions they should take if they had any concerns. A recent alert investigated by the local authority safeguarding team was found to be unsubstantiated. Environment People commented about the welcoming and friendly atmosphere at the home and said that they liked living there. The rooms we saw were personalised to suit the person concerned and specialist equipment, such as pressure reliving mattresses, was in use. People told us that they were happy with their accommodation and the general facilities provided. A key pad has been fitted to the front door to offer added security, but the manager said that the code is given to people able to use it. The gardens are well maintained and there is a secure garden at the back that is totally enclosed. Seating is available and there is a pond and bird feeders, so people can watch the wildlife. There is also a greenhouse where produce such as tomatoes are grown and then used in the kitchen. Staffing Care Homes for Older People Page 5 of 10 We looked at staff records and a new member of staff described how they were recruited. These demonstrated that a robust system had been followed to make sure that staff were suitable to work with vulnerable people. This included obtaining written references and undertaking a criminal record bureau check (CRB) and a formal interview. A new staff member described their induction and said it was very good, she told us that this had included 2 days in the office learning about the homes policies and procedures and receiving initial training. She also said that it included shadowing an experienced carer for 3 weeks until she was assessed as competent to work alone. Records and staff comments confirmed that they had undertaken various training including food hygiene, safeguarding people from abuse,fire safety and the Mental Capacity Act. Out of the 30 care staff employed 16 have attained an N.V.Q. (National Vocational Qualification) level 2 and 4 others have completed the NVQ level 3 award, 8 others are currently completing the award. Staff told us that they felt well trained and supported. One person told us, the home offers a wide range of training which staff use to develop their knowledge. People said that they received the care and support they needed and that staff were available when they required assistance. One person said, they (the staff) are very friendly and helpful. Conduct and Management of the Home People said that the home was well managed. When we asked them what the home did well their comments included, take care of me, provide a homely, warm atmosphere and make it special when we have a birthday. No one made any negative comments either on the day of the visit or in the returned surveys. Staff also felt that the home was operating to a high standard and that they were well supported to do their jobs. Their comments include;there is good team work and there are few homes in the area that could be better organised. When asked if anything could be improved one person said that the laundry arrangements could be better, but there were no negative comments made. The manager said that the laundry situation was currently being addressed. There is an effective quality assurance system in place to consult people about how the home is operating and check that policies and procedures are being followed. This includes regular questionnaires, meetings and audits of the building and working practices. What the care home does well: The home has a good system in place to enable people to express their views so that they are involved in decisions about how the home is run. The people we spoke to told us that they were happy living at the home and that the staff supported them in the way that they preferred. One person told us, it has a homely atmosphere and staff are always friendly. People are encouraged to be independent within a safe and caring environment. Staff Care Homes for Older People Page 6 of 10 work well with outside agencies to ensure that people receive additional support when it is required. The robust recruitment system makes sure that people who work at the home are suitable to do so. Staff are knowledgeable about the people they support and interact with them in a positive manner. A varied training programme equips staff with the knowledge and skills they require to do their job. 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 7 of 10 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 8 of 10 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 Care Homes for Older People Page 9 of 10 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. 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