Inspection on 28/11/08 for 31 Wensum Way

This inspection was carried out on 28th November 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

31 Wensum Way 13/11/07

31 Wensum Way 06/06/06

31 Wensum Way 10/11/05

31 Wensum Way 03/06/05

31 Wensum Way 19/01/05

31 Wensum Way 08/07/04

31 Wensum Way 18/03/04

31 Wensum Way 18/12/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 31 Wensum Way 31 Wensum Way Fakenham Norfolk NR21 8NZ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alan Buttery     Date: 2 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 31 Wensum Way 31 Wensum Way Fakenham Norfolk NR21 8NZ 01328863440 NOFAX# Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Elizabeth Fitzroy Support Name of registered manager (if applicable) Miss Simone Boatwright Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home 31 Wensum Way is a modern semi-detached house providing accommodation and care for up to eight people with a learning disability. The home has accommodation on both floors and access to the first floor is by a flight of stairs or the chair lift. The home is run as two units each providing living accommodation for four people. The bedrooms are all single rooms that contain a wash basin and the ground floor of the home has been designed and adapted to deliver a service to people with special mobility needs. On each floor there is a communal kitchen/dining room, a lounge, adapted bathroom and toilet and on the ground floor there is an additional shower room. The lounge on Care Homes for Adults (18-65 years) Page 4 of 27 care home 8 Over 65 0 8 Brief description of the care home the ground floor has been made into a sensory/games room and there is a small room on the first floor for the use of those residents that smoke. There is a large well kept garden to the rear of the property that offers access to all residents and a pleasant area to sit and parking to the front of the building. The home is sited in a residential housing estate approximately half a mile from the centre of Fakenham which offers local health amenities, leisure activities and shops. The fees for the Home are approximately #850 per week. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: During our visit we spoke mainly with the deputy manager of the home, as the manager was at a meeting, returning later. We were provided with copies of the information required, including individual files for residents and staff, and were given a tour of the home. We met two of the residents, one who took us round the home, and showed us his room. The inspection lasted around 4 hours in total Care Homes for Adults (18-65 years) Page 6 of 27 Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to ensure that anyone moving into the home is given detailed information on the support and services that will be available to them. Evidence: The process of any admissions to this home was discussed with the manager of the service, and a procedure is in place to manage any new admissions. However the nature of the service means there are few changes to the people living there, and none are envisaged in the coming months. The people currently living in the home all had detailed assessments completed prior to them moving in, and copies of these were seen on the three individual files that we examined during our visit. The needs of the people living in the home are kept under regular review, and with one resident in particular, additional resources have been provided by the local authority, to meet the increasing needs identified, including one to one support, and ensuring that they can remain living in the home for the time being. Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: All the people living in the home have a copy of the service user guide, and this is prepared in a visual format to enable them to read it. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual plans are in place that have been prepared with the person they are about, to ensure that the support given meets the needs and aspirations of the person they relate to, and provided in a way which suits that person, offering them choices in all aspects of their day to day lives. Evidence: Since the last inspection, all the individual care plans for people living in the home have been rewritten, and these are maintained by the key workers assigned to each of the residents. Regular meetings take place with the key worker and resident to ensure that the plans remain up to date, and the service reviews the plans more formally every six months. In addition, the local authorities who fund the support provided have completed a statutory review in the last twelve months. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: The plans are very comprehensive, showing involvement of the person they relate to, and contain a lot of person centred information. This ensures that the support being provided is given in a way that the individual prefers, and that their likes and dislikes are known. The person centred part of the plans is being developed further, and with the full consent of one of the residents has been recorded on a DVD, which the resident can watch at any time. During the inspection, we looked at four of the individual plans, to ensure that all the required information was in place, and were able to talk to two of the residents. The plans also show the individuals family and friends, ensuring that the residents are able to maintain close contact. The individual plans contain a daily record of significant events and activities, and again these were seen during our visit. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities are available to ensure that people living in the home can take part in work and leisure pursuits of their choosing. Evidence: One of the issues that was noted at the last inspection was a difficulty in maintaining a good level of activities because of staffing issues. These have now been resolved, and a full complement if staff is in place, enabling the people living in the home to take part in a range of activities. The activities are based on individuals needs and preferences, and range from work based structured day care to leisure activities, which include swimming, fishing, football, meals out, shopping trips, as well as activities within the home such as cooking and household chores. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: The service has two vehicles available to ensure that people can get away from the house when they choose, and the programme of activities is kept under review, to ensure that the needs and likes of the people concerned are being met. Individual files that were examined, and discussions with staff and residents demonstrated that the people living in the home do enjoy the activities they take part in, and have a good deal of variety. The residents of the home are supported to maintain contact with their families, and visitors are made welcome at all times. A variety of home cooked meals are served, and individuals living in the home are able to make choices and assist in the preparation of meals, Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual plans detail the health and social care needs of the people living in the home and are kept under review, ensuring that these needs are met. Evidence: A full complement of staff has helped the service in respect of health planning, and the individual plans now in place, and that were seen during our visit, detail the health needs of the individuals and how these needs are met. The files also showed that the plans are reviewed regularly, and with one of the people whose needs have changed considerably, how the service has negotiated with the commissioners to bring in additional support. The service has a good working relationship with the local health professionals, and with the service commissioners, and as detailed earlier work closely with them to ensure changing needs are identified and met. All staff have received medication training, and errors noted previously have not reCare Homes for Adults (18-65 years) Page 16 of 27 Evidence: occurred. None of the people living in the home are able to administer their own medication, but procedures are in place within the organisation to promote this should anyone living in the home wish. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to ensure that any concerns, complaints or allegations are appropriately dealt with, and that people living in the home know who they should speak to if they have concerns. Evidence: Everyone living in the home has a copy of the homes complaints procedure, available in a format suited to them. They are aware of who they should speak to in the event of a concern, and this information is also available to families. The service has not received any complaints since the last inspection. A policy is also in place to ensure the safeguarding of the people living in the home. No safeguarding incidents have been reported since the last inspection. All staff receive training in safeguarding matters, but more frequent updates should be provided to ensure that staff are all familiar with current procedures. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides a comfortable and safe home for the people living there, on a domestic scale, with specialist aids and adaptations needed to meet the individuals needs. Evidence: The home provides a comfortable and homely environment for the people living there. Communal space is good, with a large lounge and a kitchen/dining area. During our visit we looked around the home, and were shown their own room by one of the people living in the home. The accommodation is on two floors, with four people living on each floor, and a chairlift to assist those with mobility difficulties in getting to the first floor. The people living on the ground floor all have more significant mobility issues, and a variety of aids and equipment is available to assist them, including hoists, and specialist baths. Individual rooms are well equipped and during the tour round the home, it was clear that people are encouraged to help in choosing colour schemes and decoration. Suitable toilet and bathing facilities are available. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The home is set in pleasant grounds, within easy reach of local facilities. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A well trained staff team is in place to ensure that the support need of the people living in the home are met, and procedures ensure that all staff have undergone the required checks. Evidence: As already indicated the service now has a full staff team in place and all new staff have undertaken in detailed two week induction course, followed by continued training. In the past year a wide range of training has been undertaken by the team. A training plan is in place showing the training that has taken place and what is planned, and this has included the statutory training as well as more specific training, and management training for the manager and deputy. Most of the training is provided by the organisation who have their own training facilities Training courses for care staff have included IT, Autism, bereavement counselling, dementia and challenging behaviour. On the day of our visit, there were clearly sufficient staff to meet the needs of the people living in the home, There are normally at least three care staff available at all Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: times, and with a flexible rota, staff are available at other times to boost the numbers to allow for activities and trips out. Staff all have access to the internet to help them in planning activities and holidays, and to assist them in ongoing development. Regular staff meetings take place, ensuring that staff are able to raise concerns, and assist in future planning for the service, and these meetings are minuted to ensure that staff not able to attend are aware of the discussions that took place. The service has a detailed recruitment policy in place, and five staff records were examined which all contained information in accordance with the regulations, and details of the training that the individuals have received. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, and the interests of the people living there involved in all aspects of their lives, and policies are in place together with training to ensure that the people living and working in the home are not at risk. Evidence: The manager of the home is experienced and well qualified, and provides a consistent level of management to the home. The manager and assistant work well together, and both were available on the day we carried out this inspection. During the visit we were able to speak with two of the people living in the home, who appeared very happy with the support they receive, and had a good relationship with the staff supporting them. Since the last inspection, the management hours have been reviewed, allowing more time to carry out administrative tasks, and ensure individual records are up to date. This has also ensured that more regular supervisions are now taking place. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: All the required policies and procedures are in place. Health and safety measures ensure that people living and working in the home are not at risk, and suitable training is provided to all staff. Care Homes for Adults (18-65 years) Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 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, Care Homes 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 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 23 The service should ensure that all staff receive regular updates to ensure their knowledge of safeguarding procedures is up to date. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!