Care Home: Wellfield House

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What the care home does well We found that since the previous inspection a new manager has been employed at Wellfield House. We found that the manager has instituted changes that go some way to resolving the concerns that have been raised about Wellfield House. We found through the complaints records that these were fully investigated. We assess from this information that enquiries carried out by the manager are impartial, thorough and stand up to scrutiny. We also saw that the manager and senior staff cooperated in full with investigations conducted by statutory agencies such as Manchester Adult Care social workers. We found that the new manager had identified changes that needed to be put in place to improve staff morale, conduct and competencies. We found that the manager has introduced policies and procedures for staff to follow concerning, service users been admitted to hospital, how to record and report accidents in the home and dealing with suspected head injuries. The minutes confirmed that these were included for discussion at staff team meetings. We found from the training records that since February 2010 staff have completed training in: infection control; first aid underpinning knowledge and fire prevention. The manager informed us that staff training in moving and handling and protection of vulnerable adults requires updating, and thatshe was securing this training from different sources including Manchester Training Partnership. We found that the manager uses meetings and individual supervision to inform staff about the conduct that is expected of them in relation to adult safeguarding, implementation of the key worker system, improved communication, health and safety matters, the general conduct expected and systems that are to be changed or introduced into the home. We found that the staff compliment for the 14 people living at Wellfield House is three staff and a cook during the day and two `wake and watch` night staff. The manager also confirmed that there was an on call system in place at night. The senior carer confirmed to us that the changes implemented by the new manager had improved the running of the home and the service provided to people living at Wellfield House. A member of staff said: `I am finding the changes with the new manager wonderful- we actually get told what`s going on now and we are doing more regular training.` We found that people living at Wellfield House were happy with the service. They told us: `I find it alright, the staff are very social and my family doctor comes around if I am ill.` `I`m alright, I took a while settling in but I`m smashing now.` `I think the staff are very good to me. If I`m upset they would come to me. I am very settled.` And `I like the food and I have no complaints, never have.` What the care home could do better: We found that the current manager was open and diligent in dealing with complaints and concerns however she was not aware of matters that had arisen before her employment. Although we did not find that this had prohibited the manager in identifying changes that were needed it would have been better if the Registered Provider had informed her of the investigation and general concerns. This is because this additional information could have been helpful in underpinning the changes she has implemented. We found that the manager needs to take more active steps to become registered with the Care Quality Commission. We found the manager has completed National Vocational Qualification in Care level 3 however she does not have a management qualification. Gaining a management qualification should be made a priority so that she is given the opportunity to develop her management skills and provide measurable evidence her competencies. Random inspection report Care homes for older people Name: Address: Wellfield House 38/42 Athol Road Whalley Range Manchester M16 8QN 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: Michelle Haller Date: 0 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Wellfield House 38/42 Athol Road Whalley Range Manchester M16 8QN 01618819700 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Wellfield Estates Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Conditions of registration: 0 Personal care only is provided for a maximum of 23 older people. Staffing at the home must comply at all times with the minimum levels set out in the Residential Forum Guidelines for staffing in Care Homes for Older People. Staffing levels must be regularly assessed depending on service users assessed needs. The service should, at all times, employ a suitably qualified and experienced Manager who is registered with the NCSC. Date of last inspection Brief description of the care home Wellfield House is a care home that provides accommodation and personal care for up to 23 people of both sexes. The home was originally four terraced properties, which Care Homes for Older People Page 2 of 9 Brief description of the care home have been converted into one detached property. The accommodation for people is provided on two floors accessed via a passenger lift and stairwells. The kitchen, laundry and storerooms are situated in the basement of the building with the main office on the second floor. There are fifteen single rooms and four shared rooms. The home has an enclosed garden at the rear of the property with seating available. People who live at the home are able to access the garden via steps or ramps. The home is located to the south of the city centre in a quiet residential area within walking distance of the local shops. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services people can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is available from the manger to help people make an informed choice whether to move into the home. The fees charged at the home are GBP379.14 covering all aspects of care, food and accommodation. The manager provided this information on 21st January 2009. Care Homes for Older People Page 3 of 9 What we found: We conducted this random inspection following a Management Review for the service. We held the review because we had received information from a number of sources indicating that the outcomes for people living at Wellfield may no longer be good. We had been told that there were concerns about the home, we noted that these fell into the following Care Homes for Older People, National Minimum Standard outcome areas:Staffing, Complaints and Concerns and Management and Organisation. And so those areas were looked at during this Random Inspection. The inspection involved assessing the information we had received about the service since the previous Key Inspection in 2008 and the Annual Service Review completed in March 2010. This included notifications or events that the manager has told us about, information from other sources such as social services, health workers and people using the service. We visited Wellfield residential home unannounced, meaning that the manager and staff members did not know we were going. We examined the complaints records, staff training records and staff meeting notes. We observed the interactions between the people we saw. we looked at policies and procedures. We interviewed two people living at Wellfield House. We interviewed a member of staff. We discussed the concerns we had concerning the management of Wellfield House and staff matters with the manager. We also had a telephone conversation with the Registered Provider. What the care home does well: We found that since the previous inspection a new manager has been employed at Wellfield House. We found that the manager has instituted changes that go some way to resolving the concerns that have been raised about Wellfield House. We found through the complaints records that these were fully investigated. We assess from this information that enquiries carried out by the manager are impartial, thorough and stand up to scrutiny. We also saw that the manager and senior staff cooperated in full with investigations conducted by statutory agencies such as Manchester Adult Care social workers. We found that the new manager had identified changes that needed to be put in place to improve staff morale, conduct and competencies. We found that the manager has introduced policies and procedures for staff to follow concerning, service users been admitted to hospital, how to record and report accidents in the home and dealing with suspected head injuries. The minutes confirmed that these were included for discussion at staff team meetings. We found from the training records that since February 2010 staff have completed training in: infection control; first aid underpinning knowledge and fire prevention. The manager informed us that staff training in moving and handling and protection of vulnerable adults requires updating, and that Care Homes for Older People Page 4 of 9 she was securing this training from different sources including Manchester Training Partnership. We found that the manager uses meetings and individual supervision to inform staff about the conduct that is expected of them in relation to adult safeguarding, implementation of the key worker system, improved communication, health and safety matters, the general conduct expected and systems that are to be changed or introduced into the home. We found that the staff compliment for the 14 people living at Wellfield House is three staff and a cook during the day and two wake and watch night staff. The manager also confirmed that there was an on call system in place at night. The senior carer confirmed to us that the changes implemented by the new manager had improved the running of the home and the service provided to people living at Wellfield House. A member of staff said: I am finding the changes with the new manager wonderful- we actually get told whats going on now and we are doing more regular training. We found that people living at Wellfield House were happy with the service. They told us: I find it alright, the staff are very social and my family doctor comes around if I am ill. Im alright, I took a while settling in but Im smashing now. I think the staff are very good to me. If Im upset they would come to me. I am very settled. And I like the food and I have no complaints, never have. What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 5 of 9 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 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 7 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 31 8 The manager must ensure 30/06/2010 that they complete the Care Quality Commission registered managers process. This is so that we can be certain that a competent, experienced person of good integrity is in day to day management of Wellfield House. 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 31 The registered provider should support the manager to enrol and complete a management qualification so that the people using the service benefit from the leadership of a well informed person. 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. 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