Care Home: Waterhall Care Centre

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What the care home does well This was not assessed at this inspection. What the care home could do better: In all the files examined it was noted that the recording of weights was not being undertaken in line with the nutritional assessment completed for each person. A requirement is issued for improvement in this area. Random inspection report Care homes for older people Name: Address: Waterhall Care Centre Fern Grove Bletchley Buckinghamshire MK2 3QH two star good service 10/12/2008 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: Barbara Mulligan Date: 2 5 0 3 2 0 1 0 Information about the care home Name of care home: Address: Waterhall Care Centre Fern Grove Bletchley Buckinghamshire MK2 3QH Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Waterhall Healthcare Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 56 Number of places (if applicable): Under 65 Over 65 0 56 dementia old age, not falling within any other category Conditions of registration: 56 0 The maximum number of service users to be accommodated is 56. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Water Hall Care Centre is a 56 bedded purpose built home offering Residential, Dementia Care and Nursing Care accommodation situated south of Milton Keynes in Care Homes for Older People Page 2 of 8 1 0 1 2 2 0 0 8 Brief description of the care home Bletchley. Water Hall is set on three floors offering single bedrooms with en-suite shower facilities. There are living, recreational and dining areas throughout the Home. Telephone and television accesss has been provided in each room. There is a secure garden area for residents and families to enjoy. Water Hall has the benefit of its own Activities Coordinator who liaises with the residents and provides a wide range of activities these include Reminisense, Music Therapy, Arts and Crafts, Painting, Quizzes, Sing-a-longs. Care Homes for Older People Page 3 of 8 What we found: This inspection was undertaken as a result of a coroners report which identified poor recording practices within the home and the inspection focused specifically on this area. This inspection was undertaken by Local Area Manager Sandra Lemon and Regulation Inspector Barbara Mulligan on the 26th March 2010. On the day of the visit there was no registered manager in post. The developmenet manager for the home provided assistance with the inspection. During this visit we examined seven care plans, initial needs assessments, observation charts, risk assessments and daily record notes for people using this service. In all files examined there are initial needs assessments which have been completed before the person was offered a service by the home. Seven completed needs assessments were examined,including those most newly admitted to the home. Each assessment shows that all areas and conditions of people using the service are assessed prior to offering them a place in the home. Each assessment contains further information about the persons family and friends, likes, dislikes and preferences. Each file looked at has a completed care plan which are up to date and contain sufficient detail for staff to learn about residents they support. Specific needs have been identified within the care plans and there is a detailed action plan in place to provide staff with the details of how these needs are to be managed and fully met. The changing needs of service users have been identified and the care plan updated to reflect these. Individual preferences, likes and dislikes and reference to end of life care are recorded in care plans and describes how these will be met. The file for one person with a pressure sore was examined and this contains detailed information about the treatment and outcome of pressure area care and is reviewed on a continuing basis. Turning charts were observed to be in place for this person and were fully completed. It was noted in the files examined that where an individual has a health care need, observation charts are in place and fully completed. Daily notes are detailed and informative and tell the carers how the individual has spent their day. There is evidence that care plans are reviewed monthly. In all files examined it was noted that the recording of weights was not being undertaken in line with the nutritional assessment completed for each person. A requirement is issued for improvement in this area. The organisation has produced a discharge form which will be completed when service users in the Rehabilitation Unit leave the home. At the time of this visit the form had not been used yet. Overall the recording practices were assessed to be of good quality and files examined were fully completed and up to date. Care Homes for Older People Page 4 of 8 Verbal feedback was given to the development manager before we left the premises to state that the Care Quality Commission is not concerned about the care practices within the service, however the recording for nutritional screening requires attention. 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 5 of 8 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 8 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 8 12 A record of service users weights must be maintained as directed by the nutrional assessment. To ensure the nutrional needs of service users are met. 12/04/2010 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 7 of 8 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 8 of 8 - 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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