Inspection on 09/01/06 for 178 Wylds Lane

This inspection was carried out on 9th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

178 Wylds Lane 18/12/06

178 Wylds Lane 27/07/05

178 Wylds Lane 11/01/05

178 Wylds Lane 22/06/04

178 Wylds Lane 26/01/04

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Polesworth Group 70 Long Street

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10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Wylds Lane, 178 178 Wylds Lane Worcester Worcestershire WR5 1DN Lead Inspector R McGorman Unannounced Inspection 9th January 2006 13:30 Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wylds Lane, 178 Address 178 Wylds Lane Worcester Worcestershire WR5 1DN 01905 764201 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) New Era Housing Association Limited Norma Ann Carter Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is primarily for people with a learning disability who are under 65 years of age. The Home may also accommodate people with an additional physical disabiity and those who are over 65 years of age. 27th July 2005 Date of last inspection Brief Description of the Service: 178, Wylds Lane is registered to provide residential care for up to 4 adults who experience a learning disability, and who may have additional health needs. The premises is a large, detached, purpose-built bungalow, situated close to the centre of the City of Worcester, with easy access to public transport and a range of amenities and facilities. The home is owned and run by the New Era Housing Association Ltd., and is part of the New Dimensions Group, which, as the parent company provides strategic direction and a range of functional support services. The stated purpose of the organisation is, to work with people with learning difficulties, supporting them to make choices, and to exercise control over their lives, and the main aim of the home is, to deliver a person-centred response to the needs and aspirations of the people we support. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine unannounced inspection was to follow up previous requirements and recommendations, and to monitor the care provision at 178, Wylds Lane Worcester, in relation to the stated aims and objectives of the home. The inspection took approximately 3 hours, when some time was spent with service users, and also talking with staff. Very positive comments were made about what it is like to work at the home. A tour of the building was also undertaken. The care records of service users were inspected, and the records kept in respect of the maintenance of equipment, and safe working practices were also seen. What the service does well: The home is well organised, and comprehensive documentation is maintained. Good lines of communication ensure that everyone has the relevant information to enable appropriate decisions to be made. The building is well maintained and cared for, and it is comfortable and secure. The needs of service users are anticipated, and responded to appropriately. The staff team is flexible, with complementary skills. The individuality of each service user is recognised and the commitment of staff to their role in supporting and enabling service users, and to person centred work with service users, is commendable. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Appropriate documentation is in place to enable prospective service users to make an informed decision about their future care needs. EVIDENCE: The Statement of Purpose and the Service Users Guide, provide detailed information for residents and their families, about the services and facilities available at the home. The documentation is produced in an appropriate format, and retained by the service user, if this is their wish. Documentation is reviewed regularly, to ensure that it accurately reflects specific aspects of the care that can be provided. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&7 The service users plan of care is based on the initial assessment, which clearly identifies their assessed needs, and how these will be met. The key-worker system ensures that service users living at the home are supported in making choices in all areas of their lives. EVIDENCE: Care planning procedures are well developed at the home, and the Person Centred Approach is part of the philosophy of the care provision. A key-worker is assigned to each service user, and has responsibility for ensuring that appropriate care is provided. Monthly meetings are held with the service user, and any changes are monitored. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 & 14 The opportunities made available to service users enable them to live as fulfilling a life as possible. Each individual is involved in planning their activities, both within and outside the home, and everything very obviously revolves around them. EVIDENCE: Service users living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range of leisure activities, of which a detailed record is maintained. The individual programme of activities for each service user is varied and flexible and reflects their preferences. One resident attends a local day centre, and does some creative pottery, another enjoys some cookery sessions, while another is very involved with a local church. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 Procedures are in place to ensure that the personal and health care needs of service users are appropriately met. EVIDENCE: The personal and healthcare needs of service users are well documented, and there is evidence to show how staff understand and respond to them in an appropriate way. Personal care is provided in privacy. The healthcare of service users is closely monitored, and additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. Staff at the home expressed concern about the care of a service user while in hospital recently, as nursing staff were not familiar with the needs of patients with a learning disability, and therefore responses were not always appropriate. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 A satisfactory complaints procedure is in place at the home, and it enables everyone to express any concerns, views, opinions, and compliments. EVIDENCE: A clear procedure for the investigation of complaints has been produced and any issues are dealt with immediately. The document has been produced in a format that is understandable to service users. There has been one complaint to the home since the last inspection, which was responded to appropriately, and resolved to the satisfaction of all concerned. Conversely there have been several positive comments made by relatives, professionals and other interested parties. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26 & 29 The home is comfortable and clean, and ensures as far as possible that the safety and wellbeing of service users is promoted. The décor and furnishings are in good condition, and provide service users with an attractive and homely place to live. The equipment provided for service users enables them to be as independent as possible. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 14 EVIDENCE: The premises at 178, Wylds Lane is a large detached, purpose built bungalow, which is maintained to a satisfactory standard, and is suitable for its purpose. The gardens are accessible to service users, and have benefited from further attention recently. There are four single occupancy bedrooms for service users, which all comply with space and furnishing requirements, and contain appropriate equipment, although there is a problem with obtaining ‘bumpers’ for the bed rails on a service users bed. The rooms are furnished to reflect the personality of their occupants, and some have sensory equipment, specific to the needs of the individual service user. One room has recently been provided with new furniture, and further enquiries are being made with a view to acquiring a specialist bed and also an electric wheelchair. Appropriate aids and adaptations are provided for the use of service users, and these are regularly maintained. Contracts are in place for the servicing of equipment at the home, although some difficulties have been experienced with the central heating recently, when the contractor refused to attend. The situation has now been resolved. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 & 35 The home has an experienced and competent team of staff, who are able to ensure that the needs of service users living at the home can be effectively met. The extensive training programme available to staff ensures that they are competent in their work, although the need for specific mental health training has again been identified. EVIDENCE: New Era provides relevant information for staff on joining the organisation, and also keeps them updated on new developments and any changes that take place. Each member of staff is given a Welcome Pack that contains details about the organisation, and its aims and objectives, an Employee Handbook that provides information about terms and conditions of employment and policies and procedures, and an Induction Checklist covering the first three months of employment. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 16 A training programme is in place at the home, and the training needs of staff are regularly reviewed. Staff confirmed the training courses they have recently attended, and that they are given ‘good training opportunities.’ A record is maintained in respect of the training received by each member of staff. The need for specific training to enable staff to provide the appropriate care for people with mental health problems, has previously been identified, and approximately half the staff have received this training. The importance of all staff being involved was again discussed. The rotas indicate that staffing is being maintained at a satisfactory level, and this enables many planned activities to be undertaken with service users. There have been several staff changes in recent months, and two staff are on maternity leave at present. There has been a need to use agency staff at times, although they are usually known to the home and to the service users, which provides some continuity of care. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,40 & 41 The home is well managed at present, but the acting manager needs to be registered in order to comply with legislation. The policies and procedures, and records maintained at the home, comply with legislative requirements and therefore help to safeguard the rights of service users. The support provided to staff by the area manager, ensures the promotion of the aims and objectives of the home. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 18 EVIDENCE: The home does not have a registered care manager at present. The responsibility for the day-to-day management of the home is being undertaken by Ms Breda Goulding, who was working there with the previous manager, and an application for registration is to be submitted to the Commission in the near future. Policies and procedures are produced by the Organisation, and staff confirmed they are familiar with the content. Specifically, a comprehensive health and safety policy and procedure is in place, and an officer is employed by New Era to advise on health and safety matters. Risk assessments in respect of all safe working practices are completed. The records checked during the inspection have been completed to a satisfactory standard, and they are securely kept. Regulation 26 reports are submitted to the Commission on a regular basis. Routine maintenance and servicing of equipment is done, and temperature checks are recorded. The accident records were seen to be in order, and Notifications under Regulation 37 are made to the Commission, when appropriate. Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 2 30 X STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 2 X X 3 3 X X Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 20 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2 Standard YA35 YA37 Regulation 18 8 Requirement Mental health training must be provided for ALL staff employed at the home An application for registration for the proposed manager must be submitted to the Commission Timescale for action 31/03/06 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA24 YA29 Good Practice Recommendations A reliable company should be awarded the contract for the maintenance of essential equipment at the home Protective ‘bumpers’ should be fitted to the bedrails that are in use in the home Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wylds Lane, 178 DS0000018704.V272721.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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