Care Home: Willows Court

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What the care home does well People who lived in the home said that staff were friendly and helpful to them and respected their dignity and we saw evidence of this. Newly revamped care plans now have more detail about individual needs so that staff can meet these needs. There is a thorough and detailed reviewing system for care plans so that people are properly consulted as to what care they need. People`s activities are recorded with their personal preferences and their personal histories so that staff can appreciate their personal circumstances and provide them with the stimulation they like so they will not get bored. What the care home could do better: Care Plans need to be fully detailed to ensure staff can meet assessed individual needs. The Complaints Procedure must give the complainant a choice of where they can go to to have their complaint dealt with. Fire safety must be preserved at all times. Random inspection report Care homes for older people Name: Address: Willows Court 107 Leicester Road Wigston Leicestershire LE18 1NS one star adequate service 24/06/2009 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: Keith Charlton Date: 3 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: Willows Court 107 Leicester Road Wigston Leicestershire LE18 1NS 01162880223 01162880223 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) BestCare Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 29 Number of places (if applicable): Under 65 Over 65 18 18 29 24 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 24 No one falling within category MD(E) or DE(E) may be admitted into Willows Court when there are 18 persons of category MD(E) or DE(E) already accommodated in the home No one falling within category OP may be admitted into Willows Court where there are 29 persons of category OP already accommodated within the home No one falling within category PD or PD(E) may be admitted into Willows Court when there are 24 persons of category PD or PD(E) already accommodated in the home Care Homes for Older People Page 2 of 8 No one under 55 years falling within category PD may be admitted into Willows Court Rooms 21, 22 and 23, within Willows Court are not to be used for residents who fall within categories PD or PD(E) The maximum number of persons accommodated within Willows Court is 29 To be able to admit the named person of category PD named in variation application number V32221 dated 15th May 2006 Date of last inspection Brief description of the care home Willows Court is a residential care home for up to 29 people. The home is a modern property situated in a quiet residential area of Wigston town and is accessible by main road and bus services. Accommodation is over three levels with the majority of bedrooms being on the first and lower ground floors. All levels of the home are accessible by a passenger lift. There are two lounges and a dining area with a conservatory attached. Smoking is only permitted in the conservatory area. There are six shared rooms with en-suite facilities. Eric, the cat, lives at the home. Information regarding fees is available by contacting The Registered Manager, for people who have their care funded by Social Services a representative of Social Services will undertake a financial assessment to determine an indivdiuals financial contribution to their care. People considering using Willows Court are encouraged to contact the home directly. The full details about the home and any specific requirements can be obtained from the home in the form of the Statement of Purpose and the Service User Guide. The findings of the most recent inspection carried out by the Care Quality Commission can be found in their report which is available at the home. 0 7 0 1 2 0 1 0 Care Homes for Older People Page 3 of 8 What we found: Following the random inspection of 7/1/2010 there was still four requirements outstanding from the key inspection of 24/6/09 so we deceided to do this random inspection to follow up these requirements. The requirements related to the service users guide, the statement of purpose, and care plans. It was noted on the random inspection in January 2010 that care plans and risk assessments had been updated, though not sufficiently to remove this as a requirement. We found on this inspection that the service users guide and statement of purpose had been updated to include the details of current management arrangements. The registered provider was present during the inspection and promised to send us the updated information, which he arranged to do so. The only issue that did not appear to conform to standards is that the complaints procedure stated that the complainant should go to the home first, instead of stating that they had a choice either to go to the home or to directly contact the lead agency, the social services department. The Provider said that this would be updated. With regard to the Care Planning process for people, the deputy manager said that she was in the process of updating all care plans and she showed us how this had been done to make them more person centered, so that staff would know in detail peoples needs and be able to meet them. Care plans covered all major issues such as communication, mobility, health check needs, emotional needs, anxiety, nutrition, elimination needs, personal care, social and leisure, a personal history section set out what I would like to do now and in the future, e.g.watching particular TV series, watching football, wanting to drive in a Land Rover - the deputy manager said that this was to be arranged for a person. There was also a list of daily activities and activities evaluation sheet, so this was a very detailed and comprehensive plan. We saw an example of improved care plans, though there was still a lack of detail on some of the Plans we saw in respect of, for example, in a moving and handling risk assessment it did not specify which type belt, size etc, which is needed to ensure the person was safely moved without hurting them. For a person the risk assessment for incontinence stated that staff should follow the toileting regime without stating what this was. This implies a set inflexible toileting program, which may not meet their personal needs - the deputy manager agreed that all residents would have a baseline assessment from the district nurse to see what their individual needs were so that staff could provide individualised care. There was evidence that plans had been reviewed on a regular monthly basis - and either the person or their representative had signed to state that they had been part of the review. The deputy manager described how and residents and their representative are invited to the monthly review meeting. this is a thorough system for reviewing care plans. There was also evidence of personal history in the form of a family tree. There was also evidence that staff are asked to read Care Plans so they were aware of all needs and could then provide individual personal care. We saw the there was a wedged fire door to the kitchen, which breached fire safety. This was pointed out to staff, who then shut it. Other fire doors had a proper fire safety mechanism in place so the doors could be held open without threatening fire integrity. The registered provider said that this would be followed up for the kitchen door. Care Homes for Older People Page 4 of 8 There was evidence of activities in that activities were displayed around the home. We saw a staff member playing dominoes with the person who lived in the home. There was also evidence of vegetables being grown in small pots in the conservatory and evidence of a Gardening club for people. At the time of the inspection the back garden was being refurbished, with workmen on site. There is to be a space for growing vegetables in the new garden. In staff meeting notes there was information as to the home advertising for an activities organiser to provide a thorough activities programme. What the care home does well: 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 2. Care Homes for Older People Page 5 of 8 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 6 of 8 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 1 38 13 Fire safety must be maintained at all times. To ensure people are safe from the risk of fire. 30/05/2010 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 7 Care Plans need to contain all details of a persons care so that staff are able to meet all of their needs. Care Homes for Older People Page 7 of 8 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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