Care Home: Wheatfield Court

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What the care home does well Wheatfield Court has a calm atmosphere and staff were seen interacting well with people using the service, each other and visitors. During the visit there was a number of residents receiving visitors in the home on the day of the visit. They were located in various places including their bedrooms and the communal lounges. A number of residents and their visitors were in the garden enjoying cold and hot drinks and cream cakes together. Records showed that people have their needs thoroughly assessed before admission to the home to ensure their care can be properly planned. Those people returning to the home from hospital are assessed to ensure that the staff are aware of the needs of the person before they return. The home has twenty places which are NHS "consultant beds" these are for people who are place in the home as part of the discharge process from hospital. The staff in the home are supported and given advice by NHS specialist nurses around their care. During the visit there was a meeting being held with the NHS Consultant, the Modern Matron and other specialist staff. This is attended by the home staff and decisions are made about the care and management of the residents. Each resident has a care plan which contain a range of assessments which are used to identify peoples health and personal care needs and risks associated with individuals vulnerability. Care plans are recorded to a good standard, matched with assessed care needs and containing individuals preferences these could be improved further to be more person centered and there are plans in place to ensure this happens. The plans were evaluated monthly and these were up to date. There was evidence of regular individual reviews of care and relatives were invited to attend or give comments. Staff maintain ongoing daily reports on each person and supplementary records such as personal hygiene charts and body mapping of skin integrity. Care plans were in place for physical and mental health care needs and records showed access to, and advice and treatment from a range of health care professionals. Pressure ulcer management is good. There were ten, residents in the home who had pressure damage, seven of these had developed in the home, however four of these were in very early stages of development, three were slightly more serious but still superficial and all were improving and being managed effectively. There are good records staff seeking and using advice from the Tissue Viability nurse.Medication is administered by trained staff. Medication records have a front sheet profile with a photograph of the person and details of their GP and any allergies. Balance records were kept for boxed and bottled medications that are separate to the monitored dosage blister packs. Handwritten directions for prescribed medication were clearly recorded and directions were rewritten where timings of medication had been changed. One resident had been prescribed antibiotics which were in the home but had not been administered, the reason for this was explained and was satisfactory. Nutritional needs were monitored through assessment and care planning, recording food and fluid intake, and regular weighing. Additional calorific snacks and fresh fruit were provided between meals. Soft type meals for those people unable to manage a "normal diet" were provided and were nutritious. The cook was aware of the nutritional needs of residents generally and could describe how food could be "fortified" to increase the calorific content of the food being served. However, further improvements could be made by ensuring that the Cook has a list of those people at risk of or actually loosing weight. People living in the home are offered a variety of social activities including visiting entertainers, in house activities such as gardening and musical entertainment. The home employs a social activities co-ordinator who organises a variety of activities, events and outings. Information about these was available and displayed in the home. During the visit a carer who was on her day off was in the home assisting with the Garden Project which is a programme with Newcastle College to arrange children with special needs to visit the home to assist with improving the garden areas. The home was clean and odour free, comfortable, and appropriately furnished and equipped. There are areas of the home which have been decorated with items appropriate to the client group which serve as discussion points and offer some opportunity for reminiscence. Staff spoken to were knowledgeable about individuals and their needs. Staff told us that they receive regular training and had recently updated fire safety and first training and completed courses on dementia and nutrition. The Manager has been in post since September 2009, and has submitted her application to be registered with the Care Quality Commission. She has experience of managing a home prior to this one and has an broad spectrum of experience in healthcare. She has a degree in Chest Medicine and is currently completing the Registered Managers Award. What the care home could do better: Although is it acknowledged that there are a number of social activities provided to make sure that people have the opportunity to live active and fulfilled lives there are no individual social profiles in their files to show how the decisions are made as to what will be offered. The information regarding people who have lost weight or who are at risk of loosing weight could be shared with the cook in detail to ensure that the planning for provision of fortified food can be carried out. Random inspection report Care homes for older people Name: Address: Wheatfield Court Wheatfield Road Westerhope Newcastle Upon Tyne Tyne & Wear NE5 5HQ three star excellent 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: Suzanne McKean Date: 1 5 0 6 2 0 1 0 Information about the care home Name of care home: Address: Wheatfield Court Wheatfield Road Westerhope Newcastle Upon Tyne Tyne & Wear NE5 5HQ 01912145104 01912714992 wheatfieldcourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross BC OpCo Ltd care home 60 Number of places (if applicable): Under 65 Over 65 60 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 60 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 60 Date of last inspection Brief description of the care home Wheatfield Court is a purpose built home with sixty beds. It is located in the centre of Westerhope in Newcastle. It provides nursing and residential care for older people. Other professional input is available from members of a multi-disciplinary team Care Homes for Older People Page 2 of 9 Brief description of the care home including physiotherapists, speech therapists, chiropodists and dieticians. Residents, who are publicly or self-funded, are under the medical care of GPs and the Primary Care Team. In addition there are NHS continuing care beds and beds for NHS respite care. Accommodation is provided over two floors. The home has fifty-seven bedrooms three of which are double rooms. All rooms have en-suite facilities. There are four dining rooms and five lounges plus a family room that includes overnight facilities when needed. There is an adequate supply of assisted bathrooms and toilets. Outside there is a private patio area and large and very pleasant central garden with sensory and water features. Car parking facilities are available at the front of the home. The fees for the home are agreed individually in the contract of residency. Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. This is kept in the reception area of the home. Care Homes for Older People Page 3 of 9 What we found: An unannounced visit was carried out by a regulatory inspector on 1st July 2010, the visit was started at 9.45 and was completed by 16.30. During the visit we looked around the home, spoke to the residents and their visitors and spoke to the manager. We also looked at some of the records being kept including care plans and the Quality Assurance records. The requirements made at the last inspection on and none were identified as a result of this visit. What the care home does well: Wheatfield Court has a calm atmosphere and staff were seen interacting well with people using the service, each other and visitors. During the visit there was a number of residents receiving visitors in the home on the day of the visit. They were located in various places including their bedrooms and the communal lounges. A number of residents and their visitors were in the garden enjoying cold and hot drinks and cream cakes together. Records showed that people have their needs thoroughly assessed before admission to the home to ensure their care can be properly planned. Those people returning to the home from hospital are assessed to ensure that the staff are aware of the needs of the person before they return. The home has twenty places which are NHS consultant beds these are for people who are place in the home as part of the discharge process from hospital. The staff in the home are supported and given advice by NHS specialist nurses around their care. During the visit there was a meeting being held with the NHS Consultant, the Modern Matron and other specialist staff. This is attended by the home staff and decisions are made about the care and management of the residents. Each resident has a care plan which contain a range of assessments which are used to identify peoples health and personal care needs and risks associated with individuals vulnerability. Care plans are recorded to a good standard, matched with assessed care needs and containing individuals preferences these could be improved further to be more person centered and there are plans in place to ensure this happens. The plans were evaluated monthly and these were up to date. There was evidence of regular individual reviews of care and relatives were invited to attend or give comments. Staff maintain ongoing daily reports on each person and supplementary records such as personal hygiene charts and body mapping of skin integrity. Care plans were in place for physical and mental health care needs and records showed access to, and advice and treatment from a range of health care professionals. Pressure ulcer management is good. There were ten, residents in the home who had pressure damage, seven of these had developed in the home, however four of these were in very early stages of development, three were slightly more serious but still superficial and all were improving and being managed effectively. There are good records staff seeking and using advice from the Tissue Viability nurse. Care Homes for Older People Page 4 of 9 Medication is administered by trained staff. Medication records have a front sheet profile with a photograph of the person and details of their GP and any allergies. Balance records were kept for boxed and bottled medications that are separate to the monitored dosage blister packs. Handwritten directions for prescribed medication were clearly recorded and directions were rewritten where timings of medication had been changed. One resident had been prescribed antibiotics which were in the home but had not been administered, the reason for this was explained and was satisfactory. Nutritional needs were monitored through assessment and care planning, recording food and fluid intake, and regular weighing. Additional calorific snacks and fresh fruit were provided between meals. Soft type meals for those people unable to manage a normal diet were provided and were nutritious. The cook was aware of the nutritional needs of residents generally and could describe how food could be fortified to increase the calorific content of the food being served. However, further improvements could be made by ensuring that the Cook has a list of those people at risk of or actually loosing weight. People living in the home are offered a variety of social activities including visiting entertainers, in house activities such as gardening and musical entertainment. The home employs a social activities co-ordinator who organises a variety of activities, events and outings. Information about these was available and displayed in the home. During the visit a carer who was on her day off was in the home assisting with the Garden Project which is a programme with Newcastle College to arrange children with special needs to visit the home to assist with improving the garden areas. The home was clean and odour free, comfortable, and appropriately furnished and equipped. There are areas of the home which have been decorated with items appropriate to the client group which serve as discussion points and offer some opportunity for reminiscence. Staff spoken to were knowledgeable about individuals and their needs. Staff told us that they receive regular training and had recently updated fire safety and first training and completed courses on dementia and nutrition. The Manager has been in post since September 2009, and has submitted her application to be registered with the Care Quality Commission. She has experience of managing a home prior to this one and has an broad spectrum of experience in healthcare. She has a degree in Chest Medicine and is currently completing the Registered Managers Award. 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 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 2 12 15 Individual social care plans should be developed to show how people are supported to live active and fulfilled lives. The information regarding people who have lost weight or who are at risk of loosing weight should be shared with the cook to ensure that the planning for provision of fortified food can be carried out. The manager should continue to pursue her application with the Care Quality Commission to be the Registered Manager. 3 30 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. 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