Care Home: Wainfleet Care Home

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What the care home does well Residents knew about their care plans and said they had discussed them in reviews. Residents said they get the care they require in a manner that suits them. They felt their privacy and dignity was respected and one person who is hoisted said she was happy with the way staff use the hoist. A recent notification had been received about a resident having left the building. The care file had been updated to reflect this risk. There was a detailed activities programme for the month displayed around the home. Some residents had just taken part in a residents meeting. Residents said they have suggested a trip to the local pub, and had enjoyed a lunch out at a local brewery recently. A new activities coordinator has been in post since January and has worked to bring fresh ideas and find out what things residents would like to do. Lunch was observed and residents were served their meals individually, offered choices of drinks and had staff assisting those that required help with eating. The care manager said all staff, including domestic, laundry and admin will help residents eat their meals. An anonymous call was made to us following the inspection saying that this was not a true reflection as to how meal times are normally, and that there are not usually enough people to help residents eat their meals, and support staff do not assist. The care manager was contacted by phone and she assured us that this was a normal mealtime and that support is provided as required.Residents said they were very happy with things in the home and did not have any complaints. There was information around the home promoting world elder abuse day and a singer is coming to the home on that day. The decor of the home has been designed to stimulate residents with displays showing events and objects from past years. What the care home could do better: There is no system in place to asses people`s mental capacity, despite issues that arise where this could be an issue. The care manager spoke of some people with dementia not wanting to get up during the day. There was not sufficient knowledge of the process to follow in the event of needing a Deprivation of Liberty order. There was a floorboard that has come out of position making a potential tripping hazard outside bedroom 16. It was also noted that some repairs have been outstanding for some time. One concerning hot water temperature in a resident`s bedroom has been unresolved since 16/04/010 and as a result staff have to carry hot bowls of water to her room for her to wash. It was said that the current washing machines and dryers are not suitable to fulfill the laundry requirements of the home. It is believed that new machines are being provided, but this has not yet been confirmed. Staff and residents were asked for their views on staffing levels. It was commonly expressed that there has been a shortage of staffing however the care manager said that action has been taken to remedy this. There is now an extra member of staff now on nights and one person coming in an hour earlier for the morning shift. The care manager said this will need to be monitored to see if this now provides sufficient staffing to meet people`s needs satisfactorily. Random inspection report Care homes for older people Name: Address: Wainfleet Care Home Rumbold Lane Wainfleet Lincs PE24 4DS 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: Stephen Benson Date: 0 3 0 6 2 0 1 0 Information about the care home Name of care home: Address: Wainfleet Care Home Rumbold Lane Wainfleet Lincs PE24 4DS 01754881155 01754881494 wainfleet@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Jill Lawie Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ashbourne (Eton) Limited care home 43 Number of places (if applicable): Under 65 Over 65 43 5 dementia old age, not falling within any other category Conditions of registration: 0 0 Five beds in the category of Old Age, not falling within any other category (OP) applies to service users named in the proposal to register dated, 2nd June 2005. One bed in the category of Dementia (DE) applies to the service user named in the proposal to register dated 1st September 2005. One bed in the category of Dementia (DE) applies to the service user named in the proposal to register dated, 1st December 2004. The home is registered to provide personal care to service users whose primary needs fall within the following categories:- Dementia - over 65 years of age (DE/E) - 43 both sexes Old Age, not falling within any other category (OP) - 5 - both sexes Dementia (DE) - 2 - male Care Homes for Older People Page 2 of 9 The maximum number of service users to be accommodated is 43. Date of last inspection Brief description of the care home Wainfleet Care Home is a two storey, purpose built property situated close to the town centre and church. The home predominantly provides services to people who have dementia, although there are five beds available for named people who do not have dementia. The upper floor is accessed by stairs and a passenger lift and it is a secure area, which caters for those people who may be at risk of injury from using stairs or leaving the building without support. Bedrooms cater for single occupancy, with the exception of four twin rooms. There is a small enclosed garden to the rear of the building and a small patio area at the side of the building. At present only the patio area at the side of the building is accessible to residents as works are required to the other areas. There is limited parking at the side of the home. Further information about the home, including the fees, is availabe from the Manager. Care Homes for Older People Page 3 of 9 What we found: The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed, notifications they have sent to us and surveys completed by a selection of staff and residents. The manager was on leave, but a care manager was on duty and spoken with. We also used evidence from our observations and spoke with some residents who we asked them about their experience of living at the home; we looked at records and talked with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the care home does well: Residents knew about their care plans and said they had discussed them in reviews. Residents said they get the care they require in a manner that suits them. They felt their privacy and dignity was respected and one person who is hoisted said she was happy with the way staff use the hoist. A recent notification had been received about a resident having left the building. The care file had been updated to reflect this risk. There was a detailed activities programme for the month displayed around the home. Some residents had just taken part in a residents meeting. Residents said they have suggested a trip to the local pub, and had enjoyed a lunch out at a local brewery recently. A new activities coordinator has been in post since January and has worked to bring fresh ideas and find out what things residents would like to do. Lunch was observed and residents were served their meals individually, offered choices of drinks and had staff assisting those that required help with eating. The care manager said all staff, including domestic, laundry and admin will help residents eat their meals. An anonymous call was made to us following the inspection saying that this was not a true reflection as to how meal times are normally, and that there are not usually enough people to help residents eat their meals, and support staff do not assist. The care manager was contacted by phone and she assured us that this was a normal mealtime and that support is provided as required. Care Homes for Older People Page 4 of 9 Residents said they were very happy with things in the home and did not have any complaints. There was information around the home promoting world elder abuse day and a singer is coming to the home on that day. The decor of the home has been designed to stimulate residents with displays showing events and objects from past years. 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 5 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 6 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 1 7 15 There must be a process in place to assess peoples mental capacity and recognise any deprivation of liberty taking place. This will promote people to retain as much control of their lives as they can. 01/08/2010 2 19 23 Ensure all repairs are carried 01/07/2010 out in a timely manner. This will ensure residents live in a well maintained environment. Ensure the floor is level outside room 16. This will prevent residents being at risk of tripping. 01/07/2010 3 19 23 4 26 13 Ensure there are suitable 01/08/2010 laundry arrangements within the home This will ensure people get their laundry done within an acceptable timescale Care Homes for Older People Page 7 of 9 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 5 27 18 Monitor staffing levels to ensure recent adjustments now provide sufficient staff on duty. This will ensure there are sufficient staff to meet peoples needs in a timely manner 01/08/2010 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 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. 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