Care Home: Wheatsheaf House

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Annual service review Name of Service: Wheatsheaf House The quality rating for this care home is: The rating was made on: three star excellent service 0 7 0 1 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elaine Boismier Date of this annual service review: 2 0 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 5 High Street Cottenham Cambridgeshire CB24 8SA 01954250799 01954250799FP Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia learning disability mental disorder, excluding learning disability or dementia Conditions of registration: CareTech Community Services (No.2) Ltd Number of places (if applicable): Under 65 Over 65 0 6 1 1 2 0 1 named female over the age of 65 with a learning disability 1 named female with a learning disability and mental disorder Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Situated at the end of the village of Cottenham, Wheatsheaf House is opposite the church, and within walking distance of the local amenities, such as shops and pubs. Cottenham is within fifteen miles of Cambridge, from where it is an hours train journey to London.The house consists of three single bedrooms and a bathroom on the first floor, and one double bedroom, one single bedroom and a shower room and toilet on the ground floor. There is a large lounge, dining room, kitchen and conservatory on the ground floor as well as a laundry, office and sleeping-in area. There are gardens to Annual Service Review Page 2 of 7 0 7 0 1 2 0 0 9 the front and rear of the house: access for wheelchairs is by a ramped entrance to the conservatory from the car parking space at the rear of the house. In addition there is an annex, consisting of two flats, recently developed from what was previously three bedsits. Information about fees, including any additional costs, can be obtained from the home. Copies of inspection reports can be obtained, on request, from the home, or via our website at www.cqc.org.uk Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at information we have received from the home since our last inspection that we carried out on the 7th January 2009. We also ascertained that there are no existing requirements that we made following this last inspection of the home. We looked at the results of surveys we have received from five of the residents and from four of the staff and from two health care professionals who are involved with the home. We looked at the Annual Quality Assurance Assessment (AQAA) that was completed by the Registered Manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. What has this told us about the service? Our last inspection of the service was carried out on the 7th January 2009 when we assessed the home provided excellent quality outcomes for the residents. We received a copy of the Fire Safety Officers (FSO) report, dated 11th February 2009, that told the home what it must do to ensure the safety of people, working, living and visiting the home, from the risk of fire. The action to be taken, but not wholly inclusive, included improving the closure of fire doors and the emergency fire exits. We have received no other reports from the FSO to tell us if they had re-visited the home so we are unable to take a view on this. On the 5th May 2009 we received a notification from the home that told us what action had been taken in response to a fire occurring at the home, on the 1st May 2009. We were satisfied with this action that ensured people were safe from the risk of harm. The home told us that, in March 2009, a spot check was carried out at night. We assumed this was part of the homes quality assurance system. We were told that there was an issue about a member of the staff and this issue posed a risk to the safety of the residents. Immediate action was taken by the home to reduce this risk and the home took further action to reduce any future risk posed by this member of staff. This tells us that the home is mindful in protecting the residents from such risks. In July 2009 the home notified us of an error in the administration of medication and what action had been taken, including contacting the residents doctor, to ensure that the resident was safe. We were also told what action the home had taken to reduce the risk of a similar recurrence. We were satisfied with such actions being taken to ensure the health, welfare and safety of the residents when being supported with taking their medication. We received a letter from the home, dated 24th March 2009, and this told us that there has been improvements made within the home, to include redecoration and Annual Service Review Page 4 of 7 refurbishment of floors and the replacement of curtains; the newly installed the hard (electrical) wiring, was tested and deemed safe; some of the residents were supported in choosing and buying new bedding for themselves. The AQAA said that, within the last twelve months The home was rewired and refurbished in January 2009 and the decor of the home was chosen individually or as a group depending on it being personal or communal space. Residents are provided with colour charts and carpet samples to choose from. During refurbishment residents concerns regarding the conservatory being cold in winter were addressed by putting in a new radiator. All of the residents surveys said the home was always or usually clean and fresh. The AQAA also told us that service safety checks are in date for appliances such as emergency lighting and fire detection and fire fighting equipment. This information tells us that the residents are actively consulted in the running of the home that should be safe and a comfortable place to live. The AQAA told us how the residents live an active social life and are integral with the local community, saying Some residents choosing to sit out there (in the garden) to have their breakfast and meals and others sitting with a drink watching the world going by, talking to or saying hello neighbours or people passing by with their dogs. Weekly activities are amended or changed according to residents requests. Every year the residents the residents (sic) like to celebrate the opening of the home. This year being the 25th anniversary year the residents decided to celebrate by asking their friends, relatives and staff from the past to a party in the church hall opposite the home. The residents chose to have a live singer who performed for free and a disco. Food was chosen and collected from Sainsburys catering brochure and service. All the residents were supported to cut the celebratory cake... and Wheatsheaf is a home that provides the residents with the opportunity to integrate themselves into the community. One resident visits (sic) local pub every Friday evening and has his own drinking vessel hanging up in the bar. Some residents use the local library and others like to attend coffee mornings and other functions in the village. Two of the residents surveys added that the home could do better, with regards to the provision of activities because (I) would like to go to different places at the weekend and by Get(ting) a wheelchair(sic) vecile (sic). One of the staff surveys also said that the home could do better by having ...a vehicle that is capable of having wheelchairs in it. All of the residents surveys said that they were supported by the staff in making decisions in how to live their day- to- day lives, including during the evenings and at weekends. These surveys also said that the residents considered they were given the care and support that they needed and were able to speak to someone if they were unhappy about something. Added comments included Every one (sic) who lives hear (sic) his (sic) very hapy (sic). Both of the surveys from health care professionals said that the residents received the right care and support that they needed; they were supported by the home in making decisions how they wanted to live and that their dignity was valued and respected. One of these surveys went on to say The staff at Wheatsheaf House...work hard to achieve high standards of care for the residents. Their approach (to providing the residents care) is holistsic... The AQAA was completed in a satisfactory manner and we received it when we asked for it to be returned. The AQAA demonstrated that there is a good quality assurance within the home: it told us what the home does well; it provided evidence to support these claims; it told us how the home had improved within the last twelve months and Annual Service Review Page 5 of 7 it identified areas where the home could improve upon. For example, under Standards 18 to 21, the AQAA identified that the home does well in as Individual plans identify that health appointments have been attended and concerns acted upon. This is evidenced by Health care records and screening. The home has improved in the last twelve months by Working with residents to complete caretech health plans and the AQAA told us of the plans for improvement in the next twelve months to Continue to meet residents needs, choices and aspirations. People should be in safe hands as, according to the AQAA,All staff within the home are fully inducted and have undergone training and support around all aspects in the running of the home and Staff have to complete a new LDQ induction when starting employment. (LDQ = Learning Disability Qualification). The AQAA also said that all of the current nine members of the staff have attended training in controlling and managing infection; the same number of staff have attended training in safe food handling and eight of the these nine staff have a National Vocational Qualification level 2, or equivalent, in care. All of the staff surveys told us that the staff were satisfied with their training and support provided by the home and that there was always or usually enough staff on duty to meet the needs of the residents. One of these staff surveys added I enjoy my work at Wheatsheaf House. All of the surveys that we received said that the person knew how to make a formal complaint if they so wished. The AQAA told us that the home has received no complaints about the service and our records show that we have received no such complaints. Similarly the AQAA stated that there have been no allegations of abuse against any of the residents and we have received no such allegations. One of the staff surveys said The residents are at ease, and have confidence to discuss any issues, positive or negative. This tells us that people should be confident in making their concerns known without fear of reprisal; they should be satisfied with the standard of care and satisfied with the standard of services provided by the home. Furthermore the residents should be safe from the risk of harm. What are we going to do as a result of this annual service review? We will not change our inspection schedule and we will next visit the home no later than the 6th January 2012. We may inspect the service at any time, however, should we have concerns about the health, welfare and safety of any of the residents living at Wheatsheaf House. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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. 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