Care Home: Wentworth Hall

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well The home is managed by Lisa Carpenter. She leads a good stable well trained team of staff who together create a warm friendly environment for people who use the service. People said they were very settled and loved living at the home. They said the staff were very caring and always treated them with respect. The home is good at providing activities which engage people. People said they liked joining in the activities while others liked to spend time in the refurbished conservatory. People said they liked visiting the local church which was within walking distance and they enjoyed people from the church providing regular contact with the home. The manager welcomes the views of people who live at the home and she makes time to spend time each day talking to visitors, relatives and people who use the service. Surveys confirmed that people were comfortable to raise concerns and they were confident that their views would be taken seriously. The home has excellent recruitment and selection procedures that ensures the right people were employed at the home. The staff receive the support they need and they have a good induction procedure which means they can provide the care people need. The stable staff group works well together and there were sufficient numbers to provide a good service. The home was well maintained and the domestic team do an excellent job to keep the home clean and fresh. What has improved since the last inspection? Since the last inspection the home have improved the training provided to staff. Records confirmed regular training was undertaken, and they have above the required numbers that were NVQ trained. The have improved and reviewed a number of their policies and procedures, including the procedure for reporting missing persons. They have developed good risk assessments for those people who go out of the home alone. What the care home could do better: The registered provider must undertake a monthly quality audit (Regulation 26) and the reports must be made available for inspection. The roof between the kitchen and the office accommodation must be repaired as it poses a significant hazard, as it leaks when it rains making the stairs unsafe. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wentworth Hall Church Drive Wentworth Rotherham South Yorkshire S62 7TW     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Valerie Hoyle     Date: 1 5 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Wentworth Hall Church Drive Wentworth Rotherham South Yorkshire S62 7TW 01226748618 P/F01226748618 NONE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Paul Wilson Crabtree,Mrs. Gloria Crabtree care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Wentworth Hall is situated on the outskirts of Rotherham in a small rural village. Amenities close to the home include a small village shop, post office and two public houses. Access to the home is via a drive that also leads to the local Church. The home is a converted building with the original staircase that leads to the first floor accommodation. Service users can also use the passenger lift to access bedrooms. The home provides accommodation for 23 service users who fall into the older persons category. The personal space includes single rooms with en suite, and a small proportion of rooms that can accommodate two service users. There are a number of lounges and a conservatory that overlooks the gardens. The gardens are well kept and there is a small pond and fountain as the main feature. The home provides information to service users and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report dated 18th June 2007 is available on Care Homes for Older People Page 4 of 27 Brief description of the care home request and a copy is available in entrance for visitors to read. Information gained on the 15th June 2009 indicates the current fees range from 366 pounds to 418 pounds Additional charges include private chiropody, hairdressing, and newspapers and transport. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means that the people who use the service experience excellent quality outcomes. An Annual Service review was undertaken on the service on the Th June 2008. We looked at information provided to us in the AAA, surveys from people who use the service and information received about the home since the last inspection. We concluded that the home continued to provide a good service to people. This unannounced inspection took place over 5.5 hours starting at 09:30 finishing at 15:00; this included a partial inspection of the home. Seven people who use the service, and the manager were spoken to during this inspection; their views are Care Homes for Older People Page 6 of 27 included throughout the report. Surveys from people who use the service, staff and district nurses were received before this inspection was undertaken. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Occupancy at the home remains high with 22 of the 23 beds occupied. The manager said the remaining room is used for respite care, until a permanent person is identified. Three peoples care plans were looked at. Policies relating to medication, complaints, protection of vulnerable adults and handling of peoples monies were looked at. Three staff recruitment and training records were looked at to assess how people were protected. Procedures and risk assessments relating to health and safety were looked at and discussed with the manager. The manager is Lisa Carpenter; she has a wealth of knowledge and experience in residential care and has the required management qualifications, competencies and skills. The AAA was sent to the home and was returned to us on time, which demonstrates responsiveness and cooperation. An Annual Quality Assurance Assessments is a selfassessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AAA also provides us with statistical information about the individual service and trends and patterns in social care. The inspector would like to thank everyone who agreed to being interviewed as part of the inspection process, and the friendliness of staff. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Older People Page 8 of 27 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were assessed before moving into the home to ensure their needs can be met. Evidence: People receive a full comprehensive needs assessment before admission, this was carried out by the manager or responsible person who have the required skills and competencies. The service was highly efficient in obtaining a summary of any assessments undertaken by the placing authority, and insists on receiving a copy of the care plan before admission. Staff confirmed the information reflected an accurate assessment of the needs of people, and they used the information to ensure they delivered the care needed. Three assessments were looked at and they focused on achieving positive outcomes for people who use the service, they were clearly written and were sufficiently Care Homes for Older People Page 11 of 27 Evidence: detailed. People were given the opportunity to visit the home before moving in. People said there family had been to look around the home and recommended the home above others visited. They said they were very settled in the home and staff were caring and kind. Surveys received confirmed that people had received enough information before moving into the home, and they had received information about their terms of residence. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide staff with enough information to meet the needs of people who use the service. Arrangements for dealing with health issues were met with support from other healthcare professionals. Medication procedures were well managed ensuring the safe administration of medicines. Evidence: Three care plans were looked at, they were well written and provided enough information to enable staff to meet the needs of people who use the service. The care plans included regular evaluations, and daily records assess the individuals progress. Comprehensive risk assessments ensure people can maintain their independence, while remaining safe. One person said he was aware of limitations when going out of the home. The risk assessment was in place to alert staff if the person left the building and did not return within a given length of time. Surveys returned confirmed that peoples needs were always met and staff actively listen to what they have to say. The surveys confirmed staff were always available and they always respected their privacy and dignity. Care Homes for Older People Page 13 of 27 Evidence: Records looked at and discussion with staff confirmed peoples healthcare needs were met. Surveys confirmed people receive the medical attention they required and surveys received from district nurses said peoples health care needs were always properly monitored, reviewed and met by the care service. They confirmed that staff act swiftly to ask advise about any health issues and they always respect peoples privacy and dignity. An audit of medication stocks and records were looked at and found to be correct, ensuring people receive their medication as prescribed. Senior staff have responsibility to administer the medication and they have the required skills and competencies. The local pharmacist offers regular support to the home and he undertakes an audit to ensure stock levels were maintained and procedures followed. Medication was stored correctly and there is a separate controlled drug cupboard. Throughout the inspection staff were seen interacting with people in a kind manner, they spent time talking to people and were observed knocking on bedroom doors before entering. People were referred to by their first name and this was agreed in the care plans looked at. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities were organised which were appropriate to the needs of people. Mealtimes were well managed and people were encouraged to make choices and control over their lives. Evidence: There was a warm and friendly atmosphere on entering the home, people were enjoying a relaxed breakfast. Although there is no designated activity coordinator, people were able to join in a variety of activities and outings. The local church plays an important role within the home with regular visits from the clergy and a weekly visit from a lady who plays music. Entertainers were also brought into the home including Lost Chord and vocalists. Staff also take people out into the local community visiting the garden centre and local shops. Surveys confirmed that people were satisfied with the activities provided at the home, although two people said they would like more trips out of the home. People take interest in the garden which has a wealth of wildlife which visits daily. People were encouraged to make use of the greenhouse and a number of people enjoy growing and tending the flower tubs and tending to the tomato plants. People also Care Homes for Older People Page 15 of 27 Evidence: enjoy spending time in their bedrooms which were personalised to their own tastes and some enjoy following their interests in painting and reading in their rooms. Mealtimes were observed and there was a calm atmosphere with people chatting to friends around their table. Meals were served from large tureens and there was plenty of choice. The cook gave examples of the menus provided and said alternatives were always available. Surveys confirmed that people enjoyed the food provided. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were able to express their concerns, and have access to robust, effective complaints procedures, and were protected from abuse, and have their rights protected. Evidence: The home has robust complaints procedures which was seen in the entrance of the home. A copy of the procedure was available to people on admission to the home, and people confirmed they were aware how to raise their concerns. The manager said she was responsible for investigating complaints and following procedures which included informing the complainant of the outcome. The AQAA confirmed that there had been no complaints received in the last twelve months, and surveys confirmed people knew who to speak to if they wanted to reaise any concerns. People were confident that their concerns would be dealt with swiftly. There was a comprehensive safeguarding adults and whistleblowing policy and staff follow the procedures to those standards. The manager has responsibility for taking the required action including making referrals to the local safeguarding team in social services. The AQAA confirmed no referrals had been made since the last inspection of the service. Care Homes for Older People Page 17 of 27 Evidence: Staff records confirmed they had received training to keep people safe, and people said they felt safe in the home. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service were provided with a clean, comfortable environment. There was sufficient staff to maintain good hygiene standards. Evidence: A tour of the building found the home clean and fresh and bedrooms were personalised to individuals taste. Surveys confirmed that people always find the home clean and fresh. A number of bedrooms and bathrooms had been refurbished and the manager said new floorings had improved a number of areas. There is a decorating programme and the dining area has been greatly improved by decorating it in a bright colour. There was a choice of bathing facilities and a number of toilets throughout the home. The home has sufficient equipment to ensure peoples safety whilst moving around the home including hoists, and wheelchairs. The conservatory has be totally refurbished with a solid roof providing shade from the sun in the summer and helping retain the heat in the winter. A number of people using the facility said they enjoyed sitting watching the wildlife in the mature garden. Access to the garden is via patio doors and the gardens are well maintained with a small pond garden furniture and a small summer house. The garden is enclosed and backs onto wooded areas which means people can benefit from wildlife that regularly visit the Care Homes for Older People Page 19 of 27 Evidence: garden. During this inspection there was a leak from the roof outside the kitchen which potentially is a hazard to staff moving from the office accommodation to the main building. It must be repaired and made safe with some urgency. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff had the skills and competencies to fulfill their roles within the home; a stable staff group ensures continuity of care by staff that knows the people. Recruitment policies were followed ensuring the safety and protection of people who live at the home. Evidence: Staff rotas show that there was sufficient staff to meet the needs of people who use the service, surveys received from staff confirm they feel that there is sufficient staff and they feel supported by the manager. Training records were looked at and they confirm the staff have the required skills and competencies to meet the needs of people who use the service. The manager was able to demonstrate how they assess when refresher training is needed and they have provided training as required at the last inspection. The AQAA confirmed staff receive training in infection control and assessing peoples nutritional needs. It confirmed that six of the eighteen staff have left the home in the last twelve months. The manager said there was a stable staff group who provide an excellent service to people. Surveys from people who use the service confirmed they are very happy with the care provided. Care Homes for Older People Page 21 of 27 Evidence: There was a robust induction and probationary package, which was service specific. The manager only confirms permanent employment when satisfied that competence and progress has bee shown to be satisfactory against their high standards. A new member of staff said she was happy with the way she was introduced into the service and surveys from staff confirmed their induction covered everything they needed to know about the job. Staff had the required skills to meet the needs of people, and they are commended for meeting the requirement of 50 NVQ Level 2 qualified staff. The AQAA told us 12 of the 18 staff employed at the home hold the qualification, a number of other staff are working towards the award in care. There was robust recruitment and selection procedures that ensure people who use the service were safe and protected. A number of staff recruitment files were looked at. They had the required employment checks including application form, Criminal Record Bureau check and two references. Consideration should be given to renew CRB checks that are over three years old, to ensure information is up to date. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the views of people were sought and shortfalls were addressed. Systems were in place to protect the health and safety of the people and staff. Evidence: The registered manager has a wealth of experience and competencies to manage the home to an excellent standard. She has achieved the required management and care qualifications and continues her personal development by attending courses as required by the organisation. She operates an open door policy to ensure she was accessible to staff and people who use the service. She spends time daily talking to all the people who live at the home and was available to relatives and visitors. Staff and group meetings ensure that staff were informed about training opportunities and the day to day running of the home. Care Homes for Older People Page 23 of 27 Evidence: People who use the service were able to make decisions about how they want to manage their personal money, although some choose to let the home manage their money due to their limited capacity. Records were looked at and they were a true reflection of the money kept in their savings. The home have developed good quality audits which the manager has responsibility to complete. They actively seek the views of people and other stakeholders, and surveys were sent out yearly. The last surveys were sent out in June this year, although they had not been collated. Previous surveys showed high satisfaction levels in all areas. The registered providers visit the home regularly and were available for support when needed. They do not regularly complete an quality audit (Regulation 26 report) as required. The registered provider must complete a monthly audit and the reports must be available for inspection. Accident and incident records were analysed by the manager to ensure risk assessments were developed where required. Maintenance and service records were looked at and were up to date and current to the service provided. The manager has the required health and safety policies and procedures and displays the relevant notices. Fire safety procedures were in place and service records were looked at and were up to date. Care Homes for Older People Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 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, Care Homes 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 19 23 The roof connecting the office to the main building must be repaired immediately. As it poses a significant hazard to staff when there is heavy rain 03/08/2009 2 37 26 The registered providers 07/09/2009 must undertake a monthly quality audit and ensure it is available for inspection. This will provide up to date information about the service, including the views of people who use the service. 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 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!