Care Home: Watermoor House

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What the care home does well The manager and staff team have created a warm and friendly atmosphere in the home. The home is run to suit the needs and wishes of the people living there. Peoples` health, social and welfare needs are clearly being met and peoples` privacy and dignity is fully respected. The staff team are kind and caring and in such numbers that peoples` needs, including social needs are met and met safely. The staff team are appropriately recruited, inducted, trained and supervised. The home itself is well maintained, clean and homely. There are excellent systems in place that monitor the quality of the service and include the opinions of the people living in the home, their friends and relatives. What the care home could do better: The care plans and risk assessments would benefit from further development to ensure that peoples` needs and risks are clearly identified and recorded in a way that makes it easy for any new staff to read and understand. Random inspection report Care homes for older people Name: Address: Watermoor House Watermoor Road Cirencester Gloucestershire GL7 1JR 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: Bel Heginworth Date: 1 5 0 6 2 0 1 0 Information about the care home Name of care home: Address: Watermoor House Watermoor Road Cirencester Gloucestershire GL7 1JR 01285654864 Telephone number: Fax number: Email address: Provider web address: watermoor@gophs.fsnet.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Barbara Diane Talbot Type of registration: Number of places registered: Conditions of registration: Category(ies) : Gloucestershire Old People`s Housing Society Limited care home 39 Number of places (if applicable): Under 65 Over 65 39 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 This care home is situated close to Cirencester Town centre and is on the main bus route. The home offers personal care to predominantly older people. Communal rooms are large and airy and there is a separate dining room. Private bedrooms are for single occupancy and all have varying en suite facilities. The majority of residents furnish their bedrooms with all of their own furniture, however if this is not possible the home will provide this. There are ample communal toilets and bathrooms most of which can provide assisted bathing. Bedrooms are on three floors, which are accessed by a passenger lift. The building is set back off the road with ample parking space and to Care Homes for Older People Page 2 of 10 Brief description of the care home the rear of the property there is a large enclosed garden. Alongside the property is a public park, which can be accessed from the homes front garden. The homes current fees at the time of inspection are from GBP383.00 to GBP478 per week. Extras such as Chiropody, Hairdressing and PapersMagazines are not included. The previous inspection report produced by the Commission for Social Care Inspection CSCI is not currently displayed but is available on request. Care Homes for Older People Page 3 of 10 What we found: Although this Random Inspection was carried out by 1 inspector, the term we is used in this report as the report is written on behalf of the Care Quality Commission. We were at the home from 9:30am - 1:30pm on a week day in June 2010, to carry out a site visit as part of this inspection. Before our visit, the home provided us with an Annual Quality Assurance Assessment (AQAA) as required. This is a form for telling us how the home is meeting the needs of people that live there, including numerical information on matters relevant for a care service. During our visit, we spoke with 18 of the 36 people who were living in the home that day. We read the care records of 3 people we met, two of which had moved into the home recently. We case tracked them as a way of helping us find out more about how the home cares for or supports individuals. We read other information, that would help tell us how the home is run, including accidents records, recruitment records and the fire log book. We looked at some communal areas of the home, the kitchen and some peoples bedrooms. We spoke with staff members and made observations during the inspection. We found that two people had been admitted to the home in the last six months and one person was staying at the home for a period of respite. In all cases a pre-admission assessment had been completed prior to the person moving in. The files for each person provided good information on peoples needs, some risks, likes and dislikes. The plans of care produced from the assessment and after the people had moved in to the home needed further development. This would ensure that peoples needs were described in more detail, cover a wider range of need and include any associated risks. The AQAA said that prospective clients and their families or representatives are given the opportunity to discuss in detail the clients needs. A senior member of staff gives a guided tour of the home. A point of contact is given to ensure that if any further issues or further clarification is required, then the client knows who to talk to. The two people most recently admitted said they were delighted with the home. They said they had been involved with all parts of the admission process and had been provided with good information before moving in and when visiting. They confirmed the information and way they were admitted was as stated in the AQAA. The people living in the home that we spoke with were extremely happy with the care they received and spoke very highly of the manager and the staff team. They said that nothing was too much trouble and staff are so kind and caring. People, who were interested, said they were aware and involved in the information in their records and had key workers who would talk through their needs and care plans with them on a regular basis. The care records provided good information and covered areas of need and how to meet those needs. However, the actual care plan did not cover all areas of need and and some associated risks were not recorded in every instance. However, the staff had an excellent knowledge and awareness of peoples needs and although the records provided some of the information needed to help staff look after people they needed further development. Care Homes for Older People Page 4 of 10 It was clear through reading the records, observing and talking to people living in the home that peoples needs are being fully met. Daily notes, key workers records and professional records show all needs, including health and social care needs are monitored and reviewed appropriately. Medication systems and storage are good. The person responsible for medications has developed an auditing system which ensures that all medication, including controlled medication, stock, storage, ordering, dispensing and recording is carried appropriately and safely. All staff who administer medication have received training. People who selfmedicate have appropriate storage in their bedrooms. In such peoples records a risk assessment has been completed but this needs further development to include risks that may occur through someones needs, or needs that may change and therefore may change the risks. The atmosphere in the home was warm, friendly and relaxed. We spent time in the lounge with a number of people living in the home. Some were knitting, some were playing bingo and some were either chatting with each other or reading. Some staff were sitting with people talking about the football or having general conversations. We were told about a weekly film night where last weeks film was From Here to Eternity which seemed a popular choice. Some people talked about a weekly quiz and regular outings they can choose to go on. Others talked about how they go out to church regularly or go out with families and also have visitors who are made very welcome by the home. The AQAA states We hold regular meetings with residents and staff to discuss all areas of the home, including food, menus, activities, future refurbishment etc. Contact with relatives and friends is still very much encouraged and we believe it one of the key aspects of the home. Visitors are always welcome and encouraged to stay and dine with our clients. We have introduced a young neighbours scheme in conjunction with Cirencester college to foster relationship with (CRB checked) local students. The people we spoke with confirmed they attended regular meetings where they felt listened to and were able to contribute to how the home was run. Some people were painting in the dining room with friends who came to visit, the visitor said they were made to feel very welcome and enjoyed being able to visit their friend and continue with their hobbies. We observed some people attending the hairdresser who comes to the home regularly. The majority of the people living in the home enjoyed the food, menus were balanced and nutritious, with choices available, including vegetarian options. People said they were given a choice of food the day before but could also change their minds at the last minute and said they would always be catered for. Some people living in the home were still adapting to the new chef who has been working at the home for about a year. Some felt that he should attend the residents meetings more often or come and talk to them more regularly to ensure he fully understood what they liked and disliked. The manager said she has been working closely with him to ensure he understands peoples opinions relating to food. We spoke with the chef, he had a good knowledge of the special diets required and was working hard to ensure he catered for peoples likes and dislikes. The people living in the home who were spoken to said that if they had any concerns they would speak with their key worker or the manager. They said that they have never had Care Homes for Older People Page 5 of 10 any reason to complain but if they had any concerns they have always been dealt with straight away. The AQAA states The home has a complaints Procedure, which is displayed in the home. In addition, the home has a policy on complaints. Our Statement of Purpose and Service User Guide both have complaints procedures listed. This gives clear and straight forward guidance of who will deal with the complaint and time scale in which the complaint will be dealt with. The AQAA also stated Service Users are protected from abuse. In this home we operate a no tolerance approach towards abuse and have a clear policies and procedures in place to respond to any suspicion of neglect or abuse to our residents. All staff are appropriately screened and trained in protection of vulnerable adults issues and responsibilities. The AQAA states Watermoor House places a strong emphasis upon quality of life and upon safety and we are confident that the home provides a comfortable, homely, safe and secure environment for our residents to live in and enjoy their surroundings. We observed the home to be very homely, exceptionally clean and fresh throughout. The home is well maintained and in good decorative order. Individual bedrooms are personalised, warm and homely. Observations made during the inspection showed that the levels of staffing was good. Staff were observed being kind, caring and attentive. We looked at the records for the last people recruited to the home. The records showed that all appropriate checks, including CRBs and references were obtained prior to someone starting working in the home. Staff received appropriate induction training and supervision. We spoke with members of staff who demonstrated a good knowledge and understanding of peoples needs and received a good range of training. Many staff had obtained NVQ level 2 and 3 qualifications. The AQAA stated We operate an equal opportunities policy and make every effort to recruit from all cultures and backgrounds. Our aim is that we recruit the best people to do the job. All staff receive a job description, an employees handbook and contract of employment when they start work with us. All staff go through an induction programme. For care staff this is out sourced. The people spoken to during the inspection spoke very highly of the manager and the deputy. They said the manager always makes time every day she is on duty, to come and talk with each one of them. This was observed during the inspection. The registered manager has over 25 years experience and holds the Registered Managers Award and NVQ level 4. She has worked at the home since 1984. The manager told us that she is planning to retire later on this year but intends to stay on until a new manager is found and is inducted to the home. The homes quality assurance programme ensures the home is run for the benefit of the Care Homes for Older People Page 6 of 10 people living there. The AQAA states All staff receive appropriate supervision and annual appraisals. Through residents, staff and management meetings we continually appraise the care service we offer. The home has an ethos of continuous improvement and an aim of delivering the highest possible service. The fire log book, accident book / log were checked and found to be up to date, accurate and monitored. 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 7 of 10 Are there any outstanding requirements from the last inspection? No R Yes 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 1 7 Further development is needed to care plans and risk assessments to ensure that peoples needs and risks are clearly identified and recorded in a way that makes them easily accessible to read for new staff. 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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