Care Home: Withy Grove Care Home

What the care home does well Good information was recorded on residents care plans to help staff care for residents as they needed and wanted. Residents benefited from the support of a named worker referred to as a Key worker who took responsibility for their personal care. To ensure residents physical and mental well being was being considered properly, they were given additional specialist support where needed, such as healthcare. By working more closely with medical professionals, this meant staff had improved their skills and knowledge in healthcare issues, for example, pressure care, and blood sugar monitoring. The complaints procedure was clear which helped residents and relatives have confidence to raise any concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues. Quick action is taken to protect vulnerable people. This meant residents rights, safety, and welfare was promoted. The home was clean, and tidy, and provided a homely and pleasant environment for residents, visitors, and staff. Recruitment of staff was thorough and met with regulatory requirements. Staff interviewed said they enjoyed their work and felt supported by management. The level of staffing maintained, training provided, and supervision of staff was good, whichmeant competent qualified staff cared for residents. What the care home could do better: To make sure residents care is more person centred, they should have a daily living plan written for them, that links the care plan into an easy read working document. This will allow staff to approach care giving in a more individualised and personal way. A better response is required to dealing with accidents. This will prevent any worsening of residents injury by receiving prompt medical attention. Bathing and showering needs to be recorded better on the dementia unit. This will help staff to identify any difficulties residents experience and deal with them better. How meal times are managed needs to improve further and allow for the right support to be given to those residents requiring feeding, and those requiring supervision. This will enable residents requiring this level of support to have a good balanced intake of food. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Withy Grove Care Home Withy Grove House Off Poplar Grove Bamber Bridge Preston Lancashire PR5 6RE one star adequate 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Marie Dickinson Date: 1 9 0 3 2 0 0 9 Information about the care home Name of care home: Address: Withy Grove Care Home Withy Grove House Off Poplar Grove Bamber Bridge Preston Lancashire PR5 6RE 01772337105 01772620158 withy.grove@ashbourne.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ashbourne (Eton) Limited care home 54 Number of places (if applicable): Under 65 Over 65 0 30 dementia old age, not falling within any other category Conditions of registration: 24 0 Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. This home is registered for a maximum of 54 service users to include: Up to 24 service users in the category of DE - (Dementia). Up to 30 service users in the category of OP - (Old Age, not falling within any other category). Date of last inspection Brief description of the care home Withy Grove House is a residential care home providing 24-hour personal care and accommodation for 30 older people who have care needs and 24 older people who have care needs associated with dementia. Care Homes for Older People Page 2 of 9 2 9 0 9 2 0 0 8 Brief description of the care home Withy Grove House is a converted Manor House, which is set in its own landscaped gardens adjacent to parkland. The home is in a predominantly residential area, but within easy walking distance of Bamber Bridge centre. Bus and train services can be accessed to larger towns, such as Preston, Chorley, and Blackburn. Bedroom accommodation is on the ground and first floors. All bedrooms are used for single accommodation and 29 have en-suite facilities. There is a passenger lift. Accessible toilets and bathrooms are located on both floors near to bedroom and living rooms. There are sitting and dining areas sited on both floors and across the car park from the home is a private lawn area where residents are able to enjoy activities, weather permitting. Information about the service is available from the home. Weekly charges range from £326 (minimum) to £386; privately funded £527. Care Homes for Older People Page 3 of 9 What we found: This random unannounced. inspection was carried out in respect of Withy Grove on the 19th March 2009. The reason for this inspection was to look at how residents needs were being met, their protection, the cleanliness of the home and recruitment and staffing levels. Discussion took place with the manager, staff on duty and residents during inspection. Documents including policies, procedures, and staff and residents records were looked at. The premises were inspected as part of the process. Other information was considered such as the number of notifications received at the Commission and information received from social care professionals and visitors to the home. Areas that needed to improve from the previous key inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. Two residents files were randomly selected to look at. Information was detailed in their assessment and linked well into care plans. Good care planning meant residents had their assessed and changing needs met in a way that was suitable to them. The care plans however were lengthy, and could be improved upon by providing residents with a daily living plan. All had been reviewed on a monthly basis. Better records should be kept when residents are offered baths and showers. This will give a more accurate account of how well residents personal hygiene is being maintained. A key working system was in place. There was good evidence of staff and management working with the nurse practitioner who is assisting them in looking at the number of falls and their prevention. Records seen and information from a notification indicated that on two occasions there had been a delay in residents receiving prompt medical intervention. The manager said on one occasion the Doctors instructions had been followed. However more care is needed to ensure accidents are dealt with promptly and efficiently. The visiting nurse practitioner had provided staff with essential training to support residents healthcare needs. This included blood sugar monitoring for diabetics, and plans were in place to train staff to monitor residents blood pressure. The continence nurse had visited and set up residents continence management plans. Records also showed residents had regular appointments with the chiropodist, district nurses and other health care professionals where needed. Risk assessments had been completed to help keep residents safe and for staff to know how to help them. Mental health care needs had also been considered. Staff had been given guidance on how to manage particular situation when residents had some impairment. For example, when communicating with..., staff to protect and guide her focus for continuity of self expression, thus promoting confidence. Short sentences without using complicated words should be practiced for her to comprehend. Can follow instructions and can recognise facilities, for example, toilet with moderate supervision. Care Homes for Older People Page 4 of 9 Watching staff working with residents indicated that good relationships had been developed in the dementia unit. There was a calm environment, and staff were quick to respond in a positive way to residents who became agitated and unsettled. This was done in a courteous and pleasant way with good interactions taking place. Observations of residents at lunch on the dementia unit, showed some improvement with supervision is still required. A number of residents required feeding and as a result of this, the level of supervision residents needed was not sufficiently managed. The complaints procedure, and way the home was managed, made it very easy for residents to raise any issues or concerns they had. For example residents were frequently asked how they were and quality assurance was carried out. Good practice in employment and formal training for staff in adult protection, meant residents should be protected from abuse, neglect, and self-harm. Information received at the Commission from the manager and other professionals, showed prompt action is taken when necessary following any significant incident occurring in the home. Good recruitment practice helped select people who were suitable to care for residents. More care should be taken however to make sure one of the references is from the applicants last employer. Staff rotas and training records showed staff employed were trained, skilled and in sufficient numbers to support the residents. In addition to mandatory training provided, staff were also given training in pressure care, care planning, and dementia awareness. The home was very clean and fresh smelling. What the care home does well: Good information was recorded on residents care plans to help staff care for residents as they needed and wanted. Residents benefited from the support of a named worker referred to as a Key worker who took responsibility for their personal care. To ensure residents physical and mental well being was being considered properly, they were given additional specialist support where needed, such as healthcare. By working more closely with medical professionals, this meant staff had improved their skills and knowledge in healthcare issues, for example, pressure care, and blood sugar monitoring. The complaints procedure was clear which helped residents and relatives have confidence to raise any concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues. Quick action is taken to protect vulnerable people. This meant residents rights, safety, and welfare was promoted. The home was clean, and tidy, and provided a homely and pleasant environment for residents, visitors, and staff. Recruitment of staff was thorough and met with regulatory requirements. Staff interviewed said they enjoyed their work and felt supported by management. The level of staffing maintained, training provided, and supervision of staff was good, which Care Homes for Older People Page 5 of 9 meant competent qualified staff cared for residents. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 9 13 Where people manage their own medication written assessments need to be completed to help ensure people receive any support they may need. 07/11/2008 2 12 16(2)(n) Activities must be better arranged to take into account the needs of all residents in the home. Previous timescale of 20/02/08 not met. Residents requiring assistance at meal times must be given proper care and supervision. 30/08/2008 3 15 12(1)(a)(b) 30/08/2008 4 32 18(1)(2)(4) The management team must 30/08/2008 ensure they are responsible staff follows policies and procedures and best practice guidelines. 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 7 To make sure residents care is more person centered, care plans should include a daily living plan. This will allow staff to access essential information quickly and approach care giving in a more individualised and personal way. Better records should be kept of residents personal hygiene support that is given. This will allow staff to recognise and deal with any difficulties residents may experience, for example with bathing and showering. All accidents should be dealt with efficiently. This will help to make sure any significant injury is dealt with promptly. How meal times are managed needs to improve further to allow for the right support to be given to those residents requiring feeding and those requiring supervision. This will enable residents requiring this level of support to have a good balanced intake of food. 2 7 3 4 8 15 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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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