Inspection on 25/01/06 for 180 Wylds Lane

This inspection was carried out on 25th 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 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.

Other inspections for this house

180 Wylds Lane 22/11/06

180 Wylds Lane 14/09/05

180 Wylds Lane 28/10/04

180 Wylds Lane 01/03/04

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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, 180 180 Wylds Lane Worcester Worcestershire WR5 1DN Lead Inspector R McGorman Draft Unannounced Inspection 25th January 2006 10:00 Wylds Lane, 180 DS0000018705.V277859.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, 180 DS0000018705.V277859.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, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wylds Lane, 180 Address 180 Wylds Lane Worcester Worcestershire WR5 1DN 01905 764276 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 Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This service is primarily for people with a learning disability, but may also accommodate people with an additional physical disability. 14th September 2005 Date of last inspection Brief Description of the Service: 180 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, 180 DS0000018705.V277859.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 180, 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, although they were not able to easily communicate their opinions verbally. The acting manager, who has been appointed quite recently, provided assistance throughout the inspection, and the staff on duty were also very helpful. 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: Relevant information, in an appropriate format, is provided about the home and the organisation, for service users, and their family or representative. The individuality of each service user is recognised and the commitment of staff to their role as a team, in supporting and enabling service users, and to person centred work with service users, is commendable. Health Action Plans have been developed for each service user, which are detailed and informative, and ensure a full understanding of their healthcare needs. The activities programme enables service users to maintain various interests, and to make choices about their daily lives. A vehicle is provided to enable each service user to be involved in the local community, and to enjoy trips and holidays further away. Wylds Lane, 180 DS0000018705.V277859.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, 180 DS0000018705.V277859.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, 180 DS0000018705.V277859.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&3 Appropriate documentation is in place to enable prospective service users to make an informed decision about their future care needs. The assessment process is both detailed and thorough, to ensure that an appropriate decision is made, both by the home and the service user. 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. The usual admission procedure includes extensive assessment by staff from the home, but an emergency admission to the home had prevented this process from being followed. Subsequently the home has not received appropriate support from the placing authority, and ongoing assessment has shown that the home is not able to provide appropriately for the needs of the service user. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 9 Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 10 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&9 The service users plan of care is based on the initial assessment, which clearly identifies their assessed needs, and how these will be met. Risk management strategies enable a responsible approach to the risks associated with the various activities of daily living. EVIDENCE: An individual plan of care is produced for each service user, based on the initial assessment undertaken during the admission process. The plans are very comprehensive, detailing the specific needs of service users and how these are to be met. Person Centred Planning is being developed at the home, and new documentation introduced, a copy of which is to be submitted to the Commission. Risk assessments are completed, in relation to the premises, to the activities undertaken, and any restrictions imposed, and also in respect of every aspect of the life of each service user. There is evidence in the care plans of the ongoing review of risk assessments. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 11 Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 12 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 & 15 The opportunities made available to service users, and their regular contact with family and friends, enable them to live as fulfilling a life as possible. Service users are involved in the daily arrangements at the home, and in planning their day. They are the focus of the high standard of person centred care that is provided, and everything 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 wide range of leisure activities. Limited communication skills preclude involvement in paid employment or educational opportunities, but social activities are provided, and these may be undertaken in-house or in the community. Links with family and friends are promoted and, with a high degree of support provided by staff, to both the family, and to the service user. All service users enjoy the involvement of their own family, therefore advocacy services are not needed at present. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 13 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. Advice and guidance is requested from the primary healthcare teams, and associated specialists, to ensure that the health needs of service users are fully understood, and that appropriate responses are made. 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. Health Action Plans have been implemented for all service users living at the home. 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. The Crisis Intervention Team have been involved with the management of one service user who is unwilling to leave the house at times. Staff also expressed concern about an issue relating a service user who has continence problems, as this is having an adverse effect on the quality of life of others living at the home. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 14 Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 15 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 their concerns, views, opinions, and compliments. EVIDENCE: These standards were not inspected in detail, but were previously met. 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 have been no complaints to the home, since the last inspection. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 16 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 & 29 The location of the house is convenient to local services and facilities, and the layout provides adequate communal space for the needs of service users. The premises are suitable for their purpose, although an assessment should be undertaken by a qualified person, to ensure that the individual needs of service users can be met at the home. The standard of the accommodation is excellent. The house is comfortable and clean, and ensures, as far as possible, that the safety and wellbeing of service users is promoted. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 17 EVIDENCE: The premises at 180, Wylds Lane is a large detached, purpose built bungalow, which is maintained to a satisfactory standard, and is suitable for its purpose. The communal areas of the home are spacious and airy, nicely decorated and comfortably furnished. Sensory equipment is provided for the benefit of service users. There are two communal rooms, providing choice for service users. These consist of a spacious lounge, with a door to enable access to the patio, a lounge/diner and a kitchen/diner. The need for repair or replacement of furniture and furnishings, that have been soiled or damaged by a service user whose behaviour is challenging the service, is being considered. Contracts are in place for the servicing of equipment at the home, which is all now in working order. The recent problems experienced with the central heating were resolved following some attention to the radiators. The reduction in the mobility of a service user, now involves staff in manual handling, therefore may require the use of a hoist. The advice of an Occupational Therapist, or other suitably qualified specialist, should be sought. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 18 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): 32 & 35 The management support and supervision given to staff, enables a clear understanding of their roles and responsibilities, and ensures the promotion of the aims and objectives of the home. The extensive training programme available to staff ensures that they are competent in their work, and therefore able to provide appropriate care and support to service users. 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. A training programme is in place at the home, and the acting manager was able to confirm the courses that have recently been attended by staff. The Learning Disability Award Framework (LDAF) accredited training is being replaced by ‘New Approach Training’, which is an alternative to the NVQ. The training needs of staff are regularly reviewed, and care related courses are attended. A training record is maintained in respect of each member of staff. Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 19 Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 20 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 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, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 21 EVIDENCE: A new manager is now in post, and an application for registration has recently been submitted to the Commission. There is clear evidence of effective person centred care being delivered, and the home is being managed in a manner that is fully inclusive of service users. The positive interactions observed between staff and service users are pleasing to observe. The home very obviously revolves around the people it is supporting. 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, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 22 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 2 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 X 27 X 28 X 29 2 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 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, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 23 NO 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. Standard YA3 Regulation 14 Requirement The home must not provide accommodation for service users whose needs it cannot meet Timescale for action 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 3 Refer to Standard YA9 YA24 YA29 Good Practice Recommendations A copy of the person centred care planning format should be submitted to the Commission Furniture and fittings that are damaged should be repaired or replaced An assessment of the premises should be undertaken by the Community Occupational Therapist Wylds Lane, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 24 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, 180 DS0000018705.V277859.R01.S.doc Version 5.1 Page 25 - 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!