Care Home: Wheatsheaf Court Nursing Home

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What the care home does well The premises are homely, comfortable, and well decorated and furnished. Bedrooms are personalised and there is a good range of lounges and dining rooms so residents can choose where they socialise and dine. At the centre of the home is a large enclosed courtyard laid out with tables and chairs. This provides a secure and secluded area for residents to sit when the weather is good. All the residents and relatives we talked to praised the home. Comments included, `To me this home is excellent. I can`t think of anything that needs improving`, `Everyone`s so cheerful here you never see anyone looking downcast`, and `I like to sit in the garden with the carers and talk to them while they`re having their break. They`re good friends to me.` The home employs a full time activity coordinator who provides a varied programme of both group and one to one activities for residents. These include arts and crafts, quizzes, trips out, and gardening. One resident told us, `She (the activity coordinator) is brilliant. She does quizzes with us and really gets our memories going.` A relative said, `They have been doing flower arranging with my (family member) and they will be doing hanging baskets next to put in the courtyard.` Meals are served in the dining rooms where residents sit in small groups at individual tables. Some residents prefer to eat in their rooms or in the lounges so staff bring their meals to them. Healthy eating is encouraged and staff follow guidance from the Food Standards Agency to help ensure the food served is nutritious. A relative told us, `My (family member) likes the food. She had mince cobbler today and she loved it.` A resident said, `If I want a snack or a drink I just ask for it.` The staff team is established and there is a low turnover which means residents get to know the nurses and carers who look after them. Residents` comments about the staff included, `The staff are excellent, nothing`s too much trouble for them`, `There is a good lot of carers here`, and `The staff are never too busy to stop and have a chat.` A relative said, `I am very happy with the staff. They are genuine caring people and will do anything you want them to do.` The Manager is knowledgeable about the needs of all the residents in the home, and has good relationships with everybody who lives and works there. One resident told us, `The Manager is very good. She`s determined to make the girls do the best job they can.` Another said, `You can talk to the Manager about anything.` What has improved since the last inspection? New furniture, carpets, equipment, and lighting have been purchased. The supervision format has improved and is now linked to the weekly staff training sessions. Both the Fire Department and Environmental Health have inspected the home. The Operations Manager told us the requirements and recommendations made during these visits have been met. What the care home could do better: Some of the windows are in need of repair and/or re-painting. It is recommended that an audit is carried out and improvements made where necessary. Key inspection report Care homes for older people Name: Address: Wheatsheaf Court Nursing Home Sheaf Street Daventry Northants NN11 4AB     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Kim Cowley     Date: 0 8 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Wheatsheaf Court Nursing Home Sheaf Street Daventry Northants NN11 4AB 01327705611 01327705613 ajgoodall@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Interhaze Limited Name of registered manager (if applicable) Mrs Andrea Jayne Goodall Type of registration: Number of places registered: care home 58 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Wheatsheaf Court is a home for 58 older people, some of whom have mental health needs. The home dates back to the 16th centry and is situated in the centre of Daventry, close to the bus station and four miles from the railway station. The building has a secure inner courtyard for residents use, and a large car park. Further information about the home, including the fees, is available from the Manager. 0 0 Over 65 58 58 Care Homes for Older People Page 4 of 25 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: This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of we indicates the Care Quality Commission) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five and a half hours, we checked the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also talked to two other residents, two relatives, the Operations Manager, two nurses, and three care assistants. Care Homes for Older People Page 5 of 25 Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? New furniture, carpets, equipment, and lighting have been purchased. The supervision format has improved and is now linked to the weekly staff training sessions. Both the Fire Department and Environmental Health have inspected the home. The Operations Manager told us the requirements and recommendations made during these visits have been met. Care Homes for Older People Page 7 of 25 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 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 7535. Care Homes for Older People Page 8 of 25 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 9 of 25 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. Residents needs are assessed prior to admission to ensure the home is suitable for them. Evidence: People who are interested in coming to the Wheatsheaf Nursing Home are invited to visit prior to making a decision. The Manager or another senior member of staff assesses all prospective residents in their own homes, in hospital, or during a visit to the home. The assessment process helps to ensure the home is suitable for residents who are considering living there. Residents are encouraged to bring items of furniture with them to help them feels at home when they arrive. One resident told us, My chair in the lounge arrived here before I did. I was lovely coming here and finding it waiting for me. Records relating to a recent admission were examined. They were of a good standard Care Homes for Older People Page 10 of 25 Evidence: with the views of relatives, and assessments carried out by health and social services staff, taken into account. Standard 6 was not inspected, as this home does not provide intermediate care. Care Homes for Older People Page 11 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff meet residents health and personal care needs and maintain their dignity by providing care discreetly and sensitively. Evidence: All the residents and relatives we spoke to said they were pleased with the standard of care at the home. Comments included, I was in a wheelchair when I came in here but now I can walk, and The staff help me get up and go to bed. I call them when I need them and they come within minutes. All residents have care plans, which set out how their health, personal and social needs are to be met. Those we looked at were well-written and gave clear instructions to staff about how best to meet residents needs. They avoid jargon so are easier for residents and their families to understand. Records showed that care plans are continually reviewed and updated to ensure the needs of the residents continue to be met. Care Homes for Older People Page 12 of 25 Evidence: Residents are registered with GPs at two local practices. One GP visits the home routinely once a week, so residents can have a consultation then if they need one. Records showed that residents have access to a full range of health care treatment including input from continence and tissue viability nurses, CPNs, chiropodists, dentists (NHS and private), and opticians. Medicines are kept securely and administered by nursing staff. Where possible, residents are encouraged to take care of their own medication with staff support as necessary. The Manager audits medication supplies and records monthly, and the contract pharmacist every three months. This helps to ensure that staff are following the homes policies and procedures. It was observed during the inspection that staff treat residents with respect and help to maintain their dignity by providing care discreetly and sensitively. All bedrooms have Do not Disturb signs which can be used when personal care is being provided. Care Homes for Older People Page 13 of 25 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. Residents social and cultural needs are identified and met. Evidence: The home employs a full time activity coordinator who has completed her NVQ (National Vocational Qualification) Level 2 in Activity Leadership. She provides a varied programme of both group and one to one activities for residents. These include arts and crafts, quizzes, trips out, and gardening. Care staff also help with the activities as they are central to residents quality of life in the home. Every resident and relative we spoke to praised the activity coordinator. One resident told us, She is brilliant. She does quizzes with us and really gets our memories going. A relative said, They have been doing flower arranging with my (family member) and they will be doing hanging baskets next to put in the courtyard. Other comments included, The activities organiser is taking me to a garden centre to choose some plants and well have tea and a bun there. I love her company, and Theres so much to do here thanks to the activity lady. Visitors are welcome at the home at any time and encouraged to make themselves at home. They can use communal areas, or see residents in their own rooms if they wish Care Homes for Older People Page 14 of 25 Evidence: to talk in private. The visitors we met during the inspection got on well with the staff and said they enjoyed coming to the home. One told us, Im part of the furniture here! Meals are served in the dining rooms where residents sit in small groups at individual tables. Some residents prefer to eat in their rooms or in the lounges so staff bring their meals to them. Healthy eating is encouraged and staff follow guidance from the Food Standards Agency to help ensure the food served is nutritious. The dining areas are well staffed at meal times, so staff can assist residents to eat where necessary. Photographic menus are used to make it easier for residents to choose what they would like. A range of diets is catered for, and care is taken to present food so it looks attractive on the plate, for example by the use of shaped moulds for soft food. A relative told us, My (family member) likes the food. She had mince cobbler today and she loved it. A resident said, If I want a snack or a drink I just ask for it. Residents are encouraged to drink lots of fluids. Hot drinks are served regularly and juice is constantly available in the lounges and in residents bedrooms, if they spend a lot of time in them. Care Homes for Older People Page 15 of 25 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. Residents and their representatives are encouraged to talk to staff about any concerns they might have. Staff know how to safeguard residents. Evidence: The homes complaints procedure is included in the statement of purpose/service user guide. This is given to all residents (or their representatives) prior to admission. A user-friendly version, with a photo of the Manager so residents and visitors know who to go to, is displayed outside the office. We talked to residents and visitors about what they would do if they had a complaint. All said they would tell the Manager. One told us, If I had a problem Id see Andrea (the Manager) and shed sort it out. The home has a safeguarding procedure in place which explains what staff should do if they have concerns about the way a resident is being treated. Staff have been trained in safeguarding, and are booked to attend courses on the Mental Capacity Act and the Deprivation Of Liberty Safeguards. This will help to ensure that they have up to date information about protecting residents rights and dignity. Care Homes for Older People Page 16 of 25 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. Residents live in an environment that is safe, comfortable, and mostly well maintained. Some windows are in need of attention. Evidence: The premises are homely, comfortable, and well decorated and furnished. Previously a hotel, the building is of historical interest as Charles I is believed to have stayed there on route to the battle of Naseby. There are a number of artifacts on display, including tapestries and framed documents, that make the home an interesting place to visit. The home is on three floors with a lift for access. Bedrooms are personalised and some have door knockers to increase residents privacy. There is a good range of lounges and dining rooms so residents can choose where they socialise and dine. At the centre of the home is a large enclosed courtyard laid out with tables and chairs. This provides a secure and secluded area for residents to sit when the weather is good. Care has been taken to ensure the environment is suitable for the residents who live there. For example, some areas are colour-coded to make to make it easier for residents with dementia to find their way around. And coloured lights, flowers, and mobiles have been used to decorate the bedrooms of confused residents who are are being nursed in bed. Photographs of residents taking part in activities are on display Care Homes for Older People Page 17 of 25 Evidence: throughout the home. Since the last inspection new furniture, carpets, equipment, and lighting have been purchased. All areas inspected were cleaned to a high standard. Some of the windows are in need of repair and/or re-painting. It is recommended that an audit is carried out and improvements made where necessary. Care Homes for Older People Page 18 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An established staff team meets residents needs. Relationships between staff and residents are warm and caring. Evidence: The staff team is established and there is a low turnover which means residents get to know the nurses and carers who look after them. The home does not use agency staff and there are always least two nurses and eight carers on duty during the day, and two nurses and three carers at night. All the residents and relatives we spoke to praised the staff. Residents comments included, The staff are excellent, nothings too much trouble for them, There is a good lot of carers here, and The staff are never too busy to stop and have a chat. A relative said, I am very happy with the staff. They are genuine caring people and will do anything you want them to do. Recruitment procedures were discussed with the Operations Manager. She confirmed that all staff were subject to CRB and SOVA checks, and references obtained. Staff files were sampled and had the appropriate documentation in place. This helps to ensure residents are safeguarded. Staff receive good training opportunities. The majority are either qualified nurses or Care Homes for Older People Page 19 of 25 Evidence: have at least NVQ Level 2 in Care or its equivalent. All staff, including ancillary workers, are trained in dementia care. Additional training courses are ongoing and records showed that staff are encouraged to develop their existing skills and learn new ones. Since the last inspection the supervision format has improved and is now linked to the weekly staff training sessions. The Operations Manager told us, We expect high standards from the staff and in return we ensure they get good support from the Manager, and good training opportunities. The training and supervision arrangements in the home help to ensure that staff have the skills and support they need to do their work effectively. Care Homes for Older People Page 20 of 25 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. Residents live in a home that is safe and well managed. Evidence: The Manager wasnt on duty during the inspection, but residents, relatives, and staff told us she is knowledgeable about the needs of all the residents in the home, and has good relationships with everybody who lives and works there. One resident told us, The Manager is very good. Shes determined to make the girls do the best job they can. Another said, You can talk to the Manager about anything. The Operations Manager, who was in charge of the home during the inspection, visits every week and is in daily contact with the Manager to provide support and advice. Quality assurance and monitoring systems are in place to help ensure that the views of residents, relatives, staff, and other stakeholders are listened to and acted upon. All residents handle their own financial affairs, or their relatives manage their money Care Homes for Older People Page 21 of 25 Evidence: for them. Records showed that those in charge of the home have taken the necessary steps to promote and protect the health, safety, and welfare of residents and staff. Since the last inspection both the Fire Department and Environmental Health have inspected the home. The Operations Manager told us the requirements and recommendations made during these visits have been met. Care Homes for Older People Page 22 of 25 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 23 of 25 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 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 19 Some of the windows are in need of repair and/or repainting. It is recommended that an audit is carried out and improvements made where necessary. Care Homes for Older People Page 24 of 25 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 non-commercial 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 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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