Care Home: Wessex Lodge [Poole]

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What the care home does well People considering moving into the home receive a full assessment and are provided with the opportunity to visit and spend time at the home to make sure that it is able to meet their needs. The home is a comfortable environment for elderly people, including those with dementia. A variety of social and recreational activities are provided. Meals are nutritious and appetising and the choice and variety is good. Sufficient numbers of care staff are on duty throughout the day and night to meet the needs of the residents; staff are suitably trained and supervised to ensure residents receive the care they need from kind and competent people. What has improved since the last inspection? Since the previous inspection the registered provider, registered manager and all staff have worked hard to meet the various requirements and recommendations of previous inspections and accordingly have made significant improvements including of care practice, record keeping, and condition of the premises. The home has undergone extensive refurbishment including provision of a number of new carpets, lounge and dining room furnishings, and considerable redecoration. What the care home could do better: This report contains no requirements for improvement; the National Minimum Standards are met. CARE HOMES FOR OLDER PEOPLE Wessex Lodge [Poole] 16 Munster Road Parkstone Poole Dorset BH14 9PU Lead Inspector Gloria Ashwell Unannounced Inspection 28th January 2009 11:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wessex Lodge [Poole] Address 16 Munster Road Parkstone Poole Dorset BH14 9PU 01202 738234 01202 730215 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Arthur Roy Bolson Mrs Doreen Bolson Ms Julie Lorraine Dayman Care Home 29 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (14) of places Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. With effect from 1st January 2004, service users whose mobility requires the use of equipment must not be admitted to the upper level of the first floor of the home. One named person (as known by the CSCI) under the age of 65 may be accommodated to receive care. This condition will be removed upon the service users 65th birthday. 6th August 2008 2. Date of last inspection Brief Description of the Service: Wessex Lodge is a care home providing personal care and accommodation for a maximum of 29 older people including no more than 15 people with a diagnosis of dementia. Wessex Lodge is in a residential area between Canford Cliffs and Parkstone. Set back from the road, the home is secluded by mature trees and shrubs to the front with parking spaces for several cars. The rear of the home has pleasant grounds, which provide seating for service users in the summer months. The home is a two-storey house that has been extended. There are 23 single bedrooms, 15 with en-suite facilities, 3 shared rooms 2 with en-suite facilities. Each floor of the home is accessible by means of a central stairway and a passenger lift. A stair lift also accesses the first floor. The first floor is on two levels, one area being accessed by two steps necessitating full mobility of service users accommodated in the rooms beyond the steps. Communal sitting and dining room space is provided with lounges on both the ground and first floors. Fees are charged weekly; the fee range quoted by the manager at the time of inspection was (per person) £369 to £469. Up to date information on fees can be obtained from the service. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 5 Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a statutory inspection required in accordance with the Care Standards Act 2000. The previous key inspection of the service took place on 6 August 2008. To monitor progress in meeting the requirements made in the report of that inspection a random inspection was carried out on 17 September 2008; the report of that inspection has not been published but will be made available on request to members of the public or other enquirers. This key inspection was carried out by two inspectors, and throughout the report the term we is used, to show that the report is the view of the Commission for Social Care Inspection. This inspection was unannounced; the inspectors arrived at 11:00 on 28 January 2009, toured the premises and spoke to residents, staff, observed staff interaction with residents and the carrying out of routine tasks and together with registered manager Mrs Dayman discussed and examined documents regarding care provision and management of the home. Because people with dementia and/or complex needs and ways of communicating are not always able to reliably tell us about their experiences, we have used a formal way to observe people in this inspection to help us understand. We call this Short Observational Framework for Inspection (SOFI). This involved our observing up to five people who live at the home for two hours and recording their experiences at regular intervals. This included their state of well being, and how they interacted with staff members, other people who use services, and the environment. We observed five people with dementia and/or communication needs in the main lounge and dining room. The two-hour period included lunchtime. The duration of the inspection was 6 hours (being the combined total of time both inspectors spent in the service). During the inspection, particular residents were ‘case tracked’; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same residents were examined and the residents spoken with. During this inspection compliance with all key standards of the National Minimum Standards was assessed. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 8 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (The home does not provide intermediate care so St 6 does not apply) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admissions procedure enables prospective residents to make informed decisions about moving to the home and ensures that only residents whose needs can be met by the home are offered places there. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: All new admissions planned to minimise distress to the new resident and to ensure that staff have available all relevant information in order that they can properly meet the person’s needs. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 11 The records of a resident admitted since the last inspection included comprehensive and clear details of pre admission assessment carried out by the registered manager and deputy manager while visiting the prospective resident at their previous address. In advance of making the decision to enter the home prospective residents or their representatives visited the home to view the premises and meet residents and staff. Following pre-admission assessment of the prospective residents needs and circumstances the home wrote to them confirming the agreement and ability to provide accommodation and care. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care is planned to promote the individuality of each resident and to provide staff with sufficient information to enable the needs of each person to be competently and sensitively met. Prescribed medication is properly managed promoting the good health and well being of residents. Residents are treated with respect and their privacy and dignity are promoted at all times. EVIDENCE: The care records of 5 people who live at the home were examined and found to contain risk assessments forming the basis for sensitively written, up to date, clear and comprehensive care plans and daily records describing the care of each person. There was evidence that individual residents or their Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 13 representatives had been involved in the development and review of planned care provision. Medicine handling is carried out by staff trained in this work. Residents wishing to do so can manage their own medicines in accordance with a risk assessment process and some of the currently accommodated residents manage their own prescribed inhalers. Medication records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts. Staff have good relationships with the people living at the home and were patient and encouraging. People with dementia freely approached staff and staff gave them appropriate reassurance when they seemed unsure, distressed or anxious. Staff were observed to be relaxed with people. They reassured people by talking quietly, touching and supporting them when they were upset. Staff and residents laughed and chatted together and clearly enjoyed each other’s company. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities to engage in social and recreational activities and are encouraged and supported to pass the time according to individual preference. A choice of menu is provided and meals are nutritional and appetising. EVIDENCE: The two-hour observation session started towards the end of the morning and covered lunchtime. The staff interacted in a positive way with people and in return, people’s moods were relaxed and positive. During most of the observation time the people observed were engaged in activities, either with staff, other residents or by themselves. Staff quickly responded to a disagreement between people and sensitively diffused the situation. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 15 One person who needs lots of encouragement was supported throughout lunch by a number of staff who sat with them, gently prompted them to eat at their own pace and offered various choices to ensure they had enough to eat and drink. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and are confident their complaints are listened to. Induction training, including the Protection of Vulnerable Adults, is provided to all staff to ensure service users are safeguarded against risks of abuse in its various forms. EVIDENCE: Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home has a complaints policy and procedure; since the last inspection no complaints have been received and there have been no allegations or investigations regarding the ‘safeguarding of vulnerable adults’. All staff receive training on the safeguarding of vulnerable persons and the home has a written policy and procedure for the protection of vulnerable adults, providing information on reporting and investigating alleged or suspected abuse to ensure staff have appropriate guidance. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 17 Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, clean, well equipped and suited to the needs of residents. EVIDENCE: Since the last inspection there has been considerable refurbishment and redecoration of the home to ensure the premises and furnishings are comfortable, well maintained and safe. All areas of the home were clean and there were no unpleasant odours. There are bathrooms equipped for the use of persons requiring assistance. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 19 There is a lounge and separate dining room on the ground floor, and a lounge with dining area on the first floor. Residents are encouraged to personalise their bedrooms with pictures, ornaments and other private possessions. The laundry room is equipped with equipment compliant with hygiene requirements, including a sluice cycle washing machine. Adequate supplies of clean linen were seen to be available. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. The home promotes the achievement of nationally recognised care qualifications. EVIDENCE: The home is at all times in the charge of an experienced person and staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. The records of a recently employed staff member were examined and found to contain all essential information including written references and evidence of identity. Criminal Records Bureau (CRB) disclosures are obtained for all staff in advance of employment. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 21 The home has developed and implemented an induction process for all staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities. Records of staff training, supervision and appraisal are kept, indicating that all staff receive training appropriate to their needs. All staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the management and training provision. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is properly managed and maintained in the best interests of service users. EVIDENCE: The registered manager is Mrs Dayman; she holds the Registered Managers Award and is an experienced manager, well respected and liked by her staff and by residents, their relatives and representatives. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 23 The home periodically issues residents, their relatives and other service users with survey forms to obtain their opinion of various important aspects of the homes operation. With the exception of safekeeping small amounts of money for some residents for which records and receipts are kept of all transactions, the home does not manage the finances of residents. Residents who are unable to undertake this responsibility personally have nominated relatives, friends or other representatives to do this on their behalf. There are good processes for staff recruitment, induction and formal supervision. Staff trained in First Aid and health care are on duty in the home at all times. The use of bedrails by some residents is in accordance with assessment, care planning and relevant Health & Safety guidance. The home keeps records of fire safety checks and tests, including drills and staff training, and has developed a fire safety assessment and escape plan making specific reference to the currently accommodated residents. During the inspection a sample of records regarding equipment servicing and maintenance were examined and found to be in good order. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations All care records should be dated and signed and each separate page should bear the name of the resident for whom it is written. Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wessex Lodge [Poole] DS0000004067.V374030.R01.S.doc Version 5.2 Page 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. 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