Latest Inspection
This is the latest available inspection report for this service, carried out on 10th December 2009. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Wymeswold Court.
What the care home does well The home is clean and well maintained. People are well cared for by caring staff.There are sufficient staff to care for the people who live there. There is a commitment by the manager and staff to improving the service, and they have worked well with CQC to address the Requirements and Recommendations following the last Key Inspection, which have now been completed. What the care home could do better: Staff must receive training in caring for persons with memory loss and dementia to ensure that theyhave the knowledge, expertise and skills to provide people with care appropriate to their specific health and social care needs. It is recommended that work continues and is completed in a timely manner to ensure that each person living in the home has a care plan generated from a comprehensive assessment that reflects a person centered approach to care. It is recommended that all staff receive formal recorded supervision at least six times a year. It is strongly recommended that the new manager applies to CQC for registration before the end of January 2010. Random inspection report
Care homes for older people
Name: Address: Wymeswold Court London Lane Wymeswold Loughborough Leicestershire LE12 6UB two star good service 02/04/2009 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: Carole Burgess Date: 1 0 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Wymeswold Court London Lane Wymeswold Loughborough Leicestershire LE12 6UB 01509881615 01509881635 wymeswoldcourt@schealthcare.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) : Southern Cross Care Homes No 2 Ltd care home 40 Number of places (if applicable): Under 65 Over 65 20 40 40 dementia old age, not falling within any other category physical disability Conditions of registration: 20 0 0 1. The registered person may provide the following category/ies of service only: Care home only Code PC 2. The maximum number of service users who can be accommodated is: 40 No one under 60 years of age who falls within the category DE to be accommodated at Wymeswold Court No person falling within the PD(E) category should be accommodated at Wymeswold Court when 40 persons who fall within the PD(E) category are already residing at the home No person to be accommodated at Wymeswold Court under the categories DE or DE(E)
Care Homes for Older People Page 2 of 9 when 20 persons in total of these categories/combined categories are already residing in the home The maximum number of persons to be accommodated at Wymeswold Court is 40 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 Physical disability Code PD Dementia Code DE Wymeswold Court Care Home is registered to provide personal care to male and female service users who fall within the following categories :- Physical Disability over the age of 65 years PD(E) 40 Old Age (OP) 40 Dementia over the age of 65 years (DE(E)) 20 Dementia (DE) 20 Date of last inspection Brief description of the care home Wymeswold Court is owned by Southern Cross Limited and registered to provide personal care and accommodation for forty older people. The home is located in the village of Wymeswold, about five miles from the centre of Loughborough and is close to shops, pubs, the post office and other village amenities. The home was originally built as sheltered housing for older people but prior to completion was converted and registered as a nursing home, but now provides only residential care. The home has two floors, the first floor being accessible by either a passenger lift or stairs. There are lounges and dining areas on both floors. Thirty-eight of the rooms are single bedrooms, six with en-suite facilities, and one double room with en-suite facility. There is a well maintained courtyard garden to the rear of the building. The Statement of Purpose and Service Users Guide (these provide information about the services offered) are available from the home. At the time of the last Key Inspection, the weekly fees ranged from £334 to £550 per week. 0 2 0 4 2 0 0 9 Care Homes for Older People Page 3 of 9 What we found:
This is an overview of what the Inspector found during the inspection. We as it appears throughout the Inspection Report refers to the Care Quality Commission . The focus of the inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who use the service and their views of the service provided. The site visit was a Random Unannounced inspection and took place over five hours to access compliance with the requirements and recommendations made following the last Key Inspection on 2nd April 2009, when the service was rated 2 Star good, and to review areas of concern identified by the local authority. The service currently has an informal suspension of placements agreed between the home and local authority. There have been three safeguarding concerns, one relating to poor moving and handling techniques, with some concerns raised regarding care staffs lack of understanding in calling appropriate support services and two relating to unexplained injuries. These have not yet been concluded. The local authority identified that care plans neither reflect the health and social care needs of people who use the service nor had they been updated to demonstrate actions or interventions as peoples health care needs had changed. However, the manager had commenced a review of all care plans, starting with re-assessing everyones health and social care needs, and had agreed with the local authority on a completion date of 14th December 2009. The manager said that she hoped that all care plans would be fully updated and completed by the middle of January 2010 and would then reflect a person centered approach to care to ensure that peoples individual needs were fully met. The re-assessments that had been completed to date, provided a clear picture of individual needs, likes, dislikes and preferences and showed that people who were able had been involved in compiling their plan of care. Earlier in the year, and prior to the last key inspection, there had been an anonymous complaint to CQC regarding people being got up too early and being left wet and uncomfortable. The home has recently employed a deputy manager who is rostered on to night duties so that she can monitor care delivery. A number of people were asked about choices in going to bed and getting up in the morning. Those people spoken with said that they had a choice and could get up when they chose. One lady said that she was an early riser and she was not aware for people being made to get up early if they did not wish to. Another person said that carers were always prompt when dealing with personal care needs. All of the people spoken with said that carers were very prompt answering call bells and that they never had to wait for assistance more than a minute or two. The local authority had also raised some concerns regarding moving and handling procedures, and the management of falls. It was noted during the visit that each lounge area had an allocated carer in situ to ensure that people were safe, especially from unobserved falls, but that activities and interactions between care staff and the people who live in the home could be improved, especially in relation to those people who had
Care Homes for Older People Page 4 of 9 dementia. Four staff spoken with were very keen to have dementia care training and recognised that they did not have the information, knowledge and skills that could help them improve the care they provided for persons with memory loss or dementia. The home had a training matrix that identified training undertaken to date, and showed percentage deficits that needed to be addressed. By the end of November 2009 86 of staff had received updated safeguarding and moving and handling training. Those staff spoken with during the site visit were aware of the homes policies and procedures and how to safeguard vulnerable people from harm and understood the principles and practice of moving and handling (which was observed by the Inspector) to ensure the safety of the people who live in the home. The complaints file was reviewed and two general complaints made directly to the service manager had been handled appropriately, and in accordance with the homes complaints policy and procedure. CQC had not received any complaints from the general public about the service since the last key inspection in April 2009. The service has been without a Registered Manager for more than twelve months. This was discussed with staff, people who live in the home and their relatives. It was apparent from these discussions that the ongoing lack of managerial stability had effected the home on all levels. Staff were very clear that they had lacked consistent leadership and direction and felt undervalued. They said that each new manager brought with them new ideas and that continual changes were unsettling for staff and upsetting for the people who lived in the home - many of whom had some degree of dementia and required consistency and stability to ensure that they were able to reach and maintain their own personal potential. Relatives also said that the changes meant that things were not done as nothing was followed through. There was a new manager in post. She had been in post for about four week at the time of the site visit but had worked for Southern Cross for eight years as Divisional Back Care Adviser. She had competed the Registered Managers Award and had diplomas in management and teaching, and had kept professionally updated in other areas of care. She stated that she intended to stay at Wymeswold Court, and discussed what improvement she would like to make, and said that she would be applying for registration with CQC. It was evident from the conversations with staff - domestic, kitchen , administration and care staff - that they felt that in the short time that the manager had been in post that she had a handle on things and, that at last things were getting done. They all said that she was well liked and hoped that she would stay. A tour of the home was undertaken and it was clean and fresh on the day of the random inspection visit, and the manager, and all other staff spoken with were positive and helpful during the inspection. What the care home does well:
The home is clean and well maintained. People are well cared for by caring staff.
Care Homes for Older People Page 5 of 9 There are sufficient staff to care for the people who live there. There is a commitment by the manager and staff to improving the service, and they have worked well with CQC to address the Requirements and Recommendations following the last Key Inspection, which have now been completed. 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 £ 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 1 30 18 Staff must receive training, 31/03/2010 skills and knowledge in caring for persons with dementia that are appropriate to the work they are expected to perform. To ensure that staff have the knowledge and expertise to provide appropriate care for persons with dementia. 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 It is recommended that work continues and is completed in a timely manner to ensure that each person living in the home has a care plan generated from a comprehensive assessment that reflects a person centered approach to care. It is strongly recommended that the new manager applies to CQC for registration before the end of January 2010. It is recommended that all staff receive formal recorded supervision at least six times a year. 2 3 31 36 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. If you would like a summary 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
