Care service inspection report Validation inspection Windyedge Care Home Care Home Service 55A Strathmore Avenue Forfar Inspection completed on 24 May 2016
Service provided by: Thomas Dailey trading as Kennedy Care Group Service provider number: SP2003003646 Care service number: CS2014325906 Inspection Visit Type: Unannounced Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and set out improvements that must be made. We also investigate complaints about care services and take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. Contact Us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com 0345 600 9527 www.careinspectorate.com @careinspect Inspection report page 2 of 11
1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Information about all care services is available on our website at www.careinspectorate.com. This service registered with the Care Inspectorate on 29 August 2014. Windyedge was registered to provide 24-hour care for up to 15 older people. The service is part of the Kennedy Care Group. The service is provided in a purpose-built detached bungalow, situated in a residential area in the Angus town of Forfar. There is off-street parking to the front and side of the property and a small garden to the rear. Accommodation is all on one level ensuring residents can access all areas. All rooms have an en-suite toilet with hand washing facilities and there are shared bathrooms providing assisted bathing facilities. There is a small lounge off the dining area and a larger lounge for residents to enjoy social entertainment or to enjoy watching television. The aims and objectives for the service recorded: "We aim to develop the highest quality of care for residents in the safest and most efficient way." 2 What we did during the inspection This report was written following an unannounced inspection which took place on 24 May 2016. The inspection took place during day time hours and was undertaken by two inspectors. An inspection volunteer supported the inspection process on the first day of the inspection. An inspection volunteer is a member of the public who volunteers. During this inspection we gathered evidence from various sources, including examination of relevant documents which included: - the Certificate of Registration - the staffing schedule - the services certificate of insurance page 3 of 11
- residents' personal care plans and review minutes - accident, incident and complaint records - minutes of meetings - staff training records - medication records - repair and maintenance records. We have also taken into consideration the views of people using the service and their relatives made through questionnaires or in direct conversation with the inspectors as part of our assessment of the performance of this service. Our Inspection Volunteer (IV) spent time speaking to people who use the service both in individual and group discussions. We have included the findings of the IV into this report. 3 Conclusion Windyedge Care Home continues to maintain the high standards identified by us at our last inspection. 4 Quality of care and support Findings from the inspection Examination of the evidence we sampled and discussions with management, staff and service users confirmed that the service continued to operate at a very good level of performance in relation to health and well-being and the grade awarded in the previous inspection report is re-confirmed. People who lived in the service expressed a high level of satisfaction in areas including their relationships with the staff team and the opportunities available to them to have a meaningful day. We saw evidence of changes that had occurred in the home that had the involvement of those who used the service. This meant that they had some influence in the operations of the service. page 4 of 11
We saw that staff had a good understanding of peoples needs and the support that they required. Personal plans were seen to contain up to date information on individual support needs. These had been informed by a range of health assessments and had been reviewed and updated when there had been significant changes. This helped keep staff informed about changes to support needs. Systems were in place to support people to have their medications as prescribed for them by their medical practitioner. We were satisfied that staff were familiar with these and implemented them well. People living in the service were supported to maintain their independence. One service user told us that they went out independently using public transport. A risk assessment had been undertaken to help promote safety. One person told our Inspection Volunteer "I voted recently in the "local elections "and think it is important to use the vote if you could as people had fought for the right to vote". Our Inspection Volunteer said "During my observations it was very evident that staff and residents knew each other well and as a result there was lots of spontaneous interactions between everyone. Staff were also aware of the preferences and needs of the residents, an example of this was seen at coffee time when a service user whose sugar intake was limited (for health reasons) by the staff member who was serving tea etc. Some of the residents liked to help with routine jobs around the home and were assisted and encouraged to do so by staff; for example, to set tables, help with the tea trolley and collect cups etc." Individual comments from people who use the service included: "They're good with you when you're here" "Excellent, very well run, very good" "Cannae fault it" "Better than home, lived alone quite isolated" "Loving it, quite independent, get help to dress" page 5 of 11
5 Quality of environment Inspection report Findings from the inspection Examination of the evidence we sampled and discussions with management, staff and people who used the service confirmed that the service continued to operate at a very good level of performance in relation to the environment and the grade awarded in the previous inspection report is re-confirmed. The care home was situated in a residential area of the town, surrounded by mainly domestic properties. Some people we spoke to told us that they enjoyed being in a familiar area and seeing places that they had memories of from their window. One person who lived at the service told us that they enjoyed the freedom the service offered and they used public transport to access their local community. The provider also had its own transport which was shared between some of the homes in the local area. This helped people who get out and about. The general environment allowed people to move around freely to access a range of communal areas. We found the service to be clean and tidy with no trip hazards to help promote safety. Our Inspection Volunteer said "the general appearance and atmosphere of Windyedge was one of warmth and friendliness. There were no odours in any of the areas I visited and floor coverings and the furniture were in good condition throughout the home. Although I felt some of the décor was jaded and dated, everywhere was clean and tidy." We saw that there was a plan being developed and discussed to upgrade some of the facilities in the service. All bedrooms were individual with en-suite facilities. We saw that people had been encouraged to bring in some small items from home to help make it feel comfortable and familiar to them. Some service users invited our Inspection Volunteer in to their bedroom she said "the bedrooms I saw were spacious and very clean and fresh and well personalised. One resident who had a computer and any I Pad was looking forward to having broadband installed in the near future." page 6 of 11
A range of equipment was available to help support people with their mobility and to support safe manual handling. We saw that these had been regularly maintained to help ensure they were safe to use. Service contracts were in place for equipment including portable electrical appliances in line with legislative requirements. We also saw that the service had maintenance staff employed to undertake safety checks, small repairs and general maintenance. During the inspection we saw that they were attending to general garden maintenance. This was consistent with plans that had been agreed with the people who lived at the service, some of whom told us they enjoyed watching the garden being developed. Our Inspection Volunteer told us in their report "one resident said that they had been out "planting pansies" and another who had not really been a gardener said that they were "keen to get involved". We were pleased that people who used the service could be involved in the development of their garden. 6 Quality of staffing Findings from the inspection Examination of the evidence we sampled and observations of practice confirmed that the service continued to operate at a very good level of performance in relation to staffing and the grade awarded in the previous inspection report is re-confirmed. We found there to be a good rapport between management, staff and people living in the service. Our Inspection Volunteer said "during my observations I saw that staff knew individual residents very well and I felt that this resulted in good interaction and care for the residents." Staff appeared motivated and continued to demonstrate an eagerness to provide positive lives for those using the service. We saw that staff practice was person centred and that individual needs and preferences were considered in the day-to-day support provided by them. There was ongoing training plans for staff to promote their development, this included opportunities for staff to undertake a recognised qualification to support their registration with the Scottish Social Services Council. We saw that the manager planned and monitored training opportunities to help skill the workforce. page 7 of 11
We examined a sample of personnel files of staff who had been recently recruited. This confirmed that the provider was following safer recruitment practice. We saw that new employees had been supported by experienced staff to be orientated to their new employment and a process of induction helped show them what was expected of them by their employer. All staff were supported to lead in different aspects of their day-to-day work. All service users were allocated a keyworker whereby they had a named staff member to help get to know them well and support them to have what they need for daily living. The Inspection Volunteer said "some residents were able to name their Keyworker and understand the role that they played, others were not so sure of the Keyworker system but said:" "Everyone looks after me". "Would speak to anyone with suggestions". "Very obliging, couldn't say anything about them, I'm very happy". 7 Quality of management and leadership Findings from the inspection Examination of the evidence we sampled and observations of practice confirmed that the service continued to operate at a very good level of performance in relation to management and leadership and the grade awarded in the previous inspection report is re-confirmed. The manager had a visible presence in the service and was known to both staff and people who use the service by name. We felt this contributed positively to effective leadership and influencing the quality of care delivered within the care home. Staff spoken to confirmed that they were encouraged to take responsibility for delivering good standards of care. The Inspection Volunteer confirmed this view, she said "The manager and staff came across as very committed to providing a consistent and good standard of care to the residents." Some staff had lead roles in driving forward improvement and training in particular aspects of their work. page 8 of 11
The service continued to implement a range of quality assurance measures to help measure their performance against set standards. This helped promote continuity, safe conditions and a high standard of care. We were pleased to see through surveys undertaken by the service that there was a high level of satisfaction from the people who used the service and the other groups who had been asked to give their views. Our Inspection Volunteer confirmed this through her discussions with people who used the service, she said in her report "All of the residents I spoke with said that they were very happy with the overall care provided at Windyedge and all also spoke very highly of the staff." Meetings took place with a range of people including staff and people who use the service. We saw that action points were identified to bring about improvement and aid planning. We felt that action plans would be helpful in driving forward the improvements and measuring progress. We discussed this with the manager and also the use of a development plan in setting development goals for the service. Individual comments from people who use the service included: "Can't fault the place". "Think I know her (manager) would speak to anyone who's there, this is actually my home". "It's well managed". "Very well run". 8 What the service has done to meet any requirements we made at our last inspection Previous requirements There are no outstanding requirements. page 9 of 11
9 What the service has done to meet any recommendations we made at our last inspection Previous recommendations There are no outstanding recommendations. Inspection report 10 Inspection and grading history Date Type Gradings 9 Jun 2015 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing 5 - Very Good Management and Leadership 5 - Very Good page 10 of 11
To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. You can also read more about our work online. Contact Us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com 0345 600 9527 www.careinspectorate.com @careinspect Other languages and formats This report is available in other languages and formats on request. Inspection report Tha am foillseachadh seo ri fhaighinn ann an cruthannan is c?nain eile ma nithear iarrtas. page 11 of 11