Inspection on 11/01/06 for 1a White Ladies Close

This inspection was carried out on 11th 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

1a White Ladies Close 18/01/07

1a White Ladies Close 11/10/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 White Ladies Close, 1a 1a White Ladies Close Little London Worcester Worcestershire WR1 1PZ Lead Inspector S Davies Unannounced Inspection 11th January 2006 18:15 White Ladies Close, 1a DS0000064298.V274962.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 White Ladies Close, 1a DS0000064298.V274962.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. White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service White Ladies Close, 1a Address 1a White Ladies Close Little London Worcester Worcestershire WR1 1PZ 01905 27271 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) www.macintyrecharity.org MacIntyre Care David Joseph Bunn Care Home 5 Category(ies) of Learning disability (5) registration, with number of places White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 2005 Brief Description of the Service: 1a, White Ladies Close is registered to provide residential care for up to 5 adults who have mild to moderate learning disabilities. The premises is a large, detached, purpose built house, situated in a residential area, close to the centre of the city of Worcester, and with easy access to various amenities and facilities. The Registered Provider is MacIntyre Care, who has recently taken over this responsibility from the Royal Mencap Society. The property is leased from the Sanctuary Housing Association. The stated purpose of the organisation is, ‘to be recommended and respected as the best provider of services for people with learning disabilities throughout the United Kingdom.’ The main aim of the home is to encourage service users to achieve optimal personal independence in their lives, both within and outside the home, with supervision, support and assistance from staff where needed. White Ladies Close, 1a DS0000064298.V274962.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 recommendations, and to monitor the care provision at the home. The inspection took approximately 3 1 hours, and time was spent talking with 2 4 service users living at the home who indicated they were happy to be living at 1a, White Ladies Close. The 2 members of staff on duty were spoken to, were seen to be working effectively and said they felt happy and well supported in their work. The manager, David Bunn, came in from his day off to assist with the inspection. The care records were briefly seen, with one health action plan reviewed in detail, and also the records kept in respect of staff recruitment and training, the annual service review, and monthly visit reports made on behalf of the provider. The assistance and co-operation given throughout the inspection was very much appreciated. What the service does well: The home has a friendly and happy atmosphere, and service users are involved in the daily routines within the home, for example all contribute to decisions about meal planning, shopping and food preparation. Everyone goes to college, or work, or attends a day placement, and each has a varied programme of leisure activities, which includes regular contact with friends and family. The many happy photographs on the walls were a reminder of this. The continuing impression is that the home is very well managed, well maintained and cared for, and that it is comfortable and secure. The needs of service users are responded to appropriately, and detailed records are maintained. The individuality of each service user is recognised and actively promoted. There is a rigorous approach to staff recruitment and training. The manager and staff are committed to their own development and to their role in supporting and enabling service users, with a commendable person centred approach. White Ladies Close, 1a DS0000064298.V274962.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. White Ladies Close, 1a DS0000064298.V274962.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 White Ladies Close, 1a DS0000064298.V274962.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): These standards were not inspected, but the area manager explained that the previous recommendation in respect of standard 1 was being attended to. EVIDENCE: White Ladies Close, 1a DS0000064298.V274962.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): 7 Service users living at the home are supported in making their own decisions and choices in all areas of their lives. This is supported by sound risk management strategies, which enable a responsible approach to the risks associated with the various activities of daily living. EVIDENCE: A comprehensive and person centred plan of care is produced for each service user, in which their needs and individual preferences are identified and kept up to date with regular reviews. Detailed risk assessments help support them towards optimum choice, decision-making and independence. Their participation in the daily life of the home is constantly encouraged, both through weekly service user meetings and on a daily basis. . White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 10 Service users explained how this works for them in practice, giving the following examples of their participation, of how their preferences and choices are respected, and of how they are supported to make their own decisions. They are familiar with fire safety measures and take part in fire drills, and share responsibility, assisted by their key workers, for deciding the weeks meal plans. They take turns to decide upon the day’s meals according to known individual needs and preferences, and help shop for and prepare the meals. There is a record of meals provided which also shows any alternatives which have been provided on request. A discussion about holidays showed that each service user was able to express their own preferences and a variety of holidays were being arranged reflecting individual choices. White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 11 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): 15 and 17 The opportunities made available to service users include regular involvement with family and friends, enabling them to live as fulfilling a life as possible with meaningful and supportive relationships. Service users have a varied and appetising diet in which staff support them to plan and prepare the meals themselves with assistance as needed, aiming to encourage personal choice based on an understanding of healthy options. EVIDENCE: Service users are encouraged to follow an ‘ordinary’ life style as far as possible, using the same facilities as other members of the community, and being involved in a range of leisure activities, which provides them with many opportunities for socializing and making friends. They talked about good friends they had made through their activities, one service user had met an old school friend again and another had a new boyfriend. They all kept in touch regularly with family and friends, and invited them to visit White Ladies Close. Service users explained the approach to meals (see also previous section). They discuss this at weekly meetings then take turns to decide upon a day’s meals according to known individual needs and preferences, and help shop for White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 12 and prepare the meals for that day. All spoken to confirmed that they had plenty to eat and enjoyed their meals, sitting down together in the spacious kitchen diner. A record of food provided was seen which confirmed that a varied and nutritious diet is offered to all service users, with provision for alternative choices on request. Service users said they also enjoyed going out for meals in the evening, while a regular event is to go into town on Saturday mornings to have breakfast, prior to shopping and leisure activities. White Ladies Close, 1a DS0000064298.V274962.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): These standards had been inspected this year so were not inspected this time EVIDENCE: White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 14 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): These standards had been inspected this year so were not inspected this time EVIDENCE: White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 15 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): These standards had been inspected this year so were not inspected this time EVIDENCE: White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 16 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 and 34 There is an experienced staff team at the home, with skills and experience relative to the work they are doing, which ensures that the needs of service users living at the home are effectively met. Robust recruitment procedures are in place and fully adhered to, to ensure the protection of service users. The training programme available to staff provides then with the competencies necessary for them to be effective in their work, and training is up to date with planned training to meet the anticipated future needs of older service users. EVIDENCE: Staff records seen showed that two references are taken up, CRB (Criminal Record Bureau) checks are carried out and employment records, including any White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 17 gaps, are fully explored before any offer of appointment made is confirmed, and satisfactory responses are received before employment commences. A training programme is in place at the home, and an individual profile is produced for each member of staff. All training is up to date in fire safety, basic first aid, moving and handling, food hygiene, and medication. In addition to basic training, staff have received training in person centred planning, challenging behaviour and dementia awareness, death and bereavement. Consideration is to be given to future training to include the full First Aid at Work course for senior staff. All staff progress through induction training to service specific training (in line with the Learning Disability Advisory Forum expectations) in meeting the needs of people with learning disabilities. It is expected that staff will progress through NVQ (National Vocational Qualifications) to a minimum Level 3, and they are all supported and encouraged to do so. The manager has qualified as an NVQ assessor, which should facilitate this. White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 18 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): 39 and 43 The management arrangements at 1a, White Ladies Close are satisfactory, and staff and service users benefit from the positive leadership, and the person centred approach to the care they receive. There is a strong commitment to pursuing robust staff recruitment and training procedures to ensure staff have the skills, experience and personal qualities to meet service users’ general and identified needs. Service users’ views are sought and acted upon in the course of the quality assurance and annual review process, with feedback to show them how any concerns they might have are responded to. The area manager makes a monthly visit and reports on the outcome in writing, to monitor and maintain an overview of the service. White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 19 EVIDENCE: The management structure for 1a, White Ladies Close, includes a Service Manager, who is now located in Worcestershire, and a Regional Director and a Managing Director who work at Head Office in Milton Keynes. The Registered Manager has extensive experience in working with this client group, and has achieved the Registered Managers Award. He also has the NVQ Assessors Award. There is evidence that the manager has an organised approach, with a clear sense of direction, and strong leadership skills. Staff recruitment and training records show rigorous attention to the protection of service users and to maintaining an effective and committed workforce. Documents seen demonstrate a strong commitment to ongoing service appraisal and development, through the processes of quality assurance, annual review and forward service planning, which includes seeking and responding to service users’ views. These procedures are currently being adjusted in line with those of the new providers. The area manager makes monthly visits to monitor the service with a written report on each visit. A copy of the report needs to be forwarded to the Commission every month on completion. White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 20 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X X 2 White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 21 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 YA43 Regulation 26 Requirement A copy of each written report on the providers monthly service monitoring visit to the home must be provided promptly to the Commission Timescale for action 11/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 22 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 White Ladies Close, 1a DS0000064298.V274962.R01.S.doc Version 5.1 Page 23 - 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!