Inspection on 14/12/05 for 7 Wychwood Close

This inspection was carried out on 14th December 2005.

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

7 Wychwood Close 28/01/08

7 Wychwood Close 10/08/06

7 Wychwood Close 09/05/05

7 Wychwood Close 08/10/04

7 Wychwood Close 08/07/04

7 Wychwood Close 19/01/04

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Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 7 Wychwood Close Sonning Common Reading RG4 9SN Lead Inspector Lilian Mackay Unannounced Inspection 14th December 2005 13:10 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 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 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 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. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 7 Wychwood Close Address Sonning Common Reading RG4 9SN 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) 01189 723888 New Support Options Limited Mrs Jennifer Pearce Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not excced 3 9th May 2005 Date of last inspection Brief Description of the Service: 7 Wychwood Close is a three-bedroomed house situated in a quiet residential area in Sonning Common. It is close to shops and other amenities. It provides residential care for up to three adults with learning disabilities, both under and over the age of 65. All those being supported are admitted on a permanent basis. Their physical independence is decreasing as they become older and the home cannot be fully adapted to meet these needs. Therefore, the home cannot currently guarantee to be a home for life. This is being addressed and those being supported are to be given more suitable accommodation. Community and Social Care purchase all the places at the home. The home is run and managed by New Support Options Ltd, a not for profit organisation established in 1989 and part of the New Dimensions Group. New Support Options Ltd has a wealth of experience in providing services for those with learning disabilities and operates in West Berkshire, Hampshire, Surrey and Norfolk, in addition to Oxfordshire. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place between 13.10 and 17.30 on a weekday afternoon. The purpose of the visit was to see how the home is meeting the National Minimum Standards for care homes for younger adults, 18-65. This inspection included a sampling of the home’s policies and procedures, records and other documentation, talking to staff and those being supported and a tour of the home. Feedback was also obtained by means of questionnaires sent to health and social care professionals and relatives or visitors associated with the home. The inspector met both people being supported at this time and spoke to the manager and the member of staff on duty. Respectful and kindly interactions were observed between staff and those being supported. The home has had the same registered manager since 1993. She also manages another care home nearby which is also registered for three adults. The responsible individual for the service is the chief executive of New Support Options Ltd. At this time the home was supporting two women and was employing eight staff including the manager. Two of these were employed in the twelve months prior to this inspection. A minimum of one staff member is on duty throughout the day. Night staffing consists of one member of staff asleep on-call. The two women being supported have lived together since 1992. Those being supported communicate verbally. Feedback from those being supported indicated that they like living at the home, feel well cared for, feel staff treat them well, have their privacy respected, have suitable activities provided for them, enjoy the food, feel safe and know who to communicate with if they are unhappy with the care they are receiving. Staff feedback was very positive. This confirmed staff recruitment and induction procedures to be thorough, that they are regularly supervised and have regular staff meetings and are aware of adult protection procedures. Staff feel well supported by management. Feedback from health and social care professionals was very positive and confirmed that the home communicates clearly and works in partnership with them, that there is always a senior member of staff to confer with, that they are able to see their clients in private, that staff demonstrate a clear understanding of the care needs of those being supported, that any specialist advice given is incorporated into the care plan, that medication is appropriately managed, that management or staff take appropriate decisions when they can no longer manage the care needs of those being supported and that a copy of the CSCI inspection report is made available to them. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 6 Health and social care professionals were satisfied with the overall care provided. They commented,” I feel that the support provided at Wychwood Close is extremely person-centred and the staff and the manager have gone out of their way to consult and include us in their decisions.” Feedback from relatives or visitors associated with the home confirmed that they are made to feel welcome there, can visit their relative or friend in private, are kept informed of important matters affecting their relative or friend, are consulted when their relative or friend is unable to make decisions, that there are always sufficient staff on duty, that they are aware of the complaints procedure, are made aware of forthcoming inspections, have access to a copy of the CSCI inspection reports and are satisfied with the overall care provided. They commented, ”I can honestly state that I cannot fault the home, its management and staff”. The inspector would like to thank those being supported and the staff members on duty at this time for their assistance, hospitality and courtesy throughout this inspection. What the service does well: Those being supported have their rights as citizens protected and are included in the life of the local community. There is a lot of continuity for those being supported in terms of who they live with, where they live and who looks after them. The home provides a service that is tailored to individual needs. There are opportunities for those being supported to socialise with the three adults also being supported in a home nearby. The home has its own bank of staff employed by New Support Options to minimise the use of outside agency staff. Management is diligent and timely about notifying the CSCI of all incidents as they occur. The records are kept up to date and accurate. This is a very well run home. The home provides a happy, relaxed environment and staff and those being supported get on well together. The service is flexible and provided additional staff whilst a former resident was ill. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 7 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. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 8 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 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 9 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, 2 The home has both a Service User Guide and a Statement of Purpose. Care needs assessments have not been required as nobody new has been admitted in the previous 12 months. EVIDENCE: The home has both a Service User Guide and a Statement of Purpose. Full assessments clearly indicating how the home can meet the care needs of those being supported will need to be undertaken before anyone new comes to be supported by the home. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 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, 7, 9. The home provides a service tailored to individual needs identified in personal care plans, MAPs and PATHs. Those being supported are encouraged to make decisions and choices. The independence of those being supported is promoted by an effective system of risk assessment. EVIDENCE: Each person supported has a key worker with responsibility for her care needs. Care plans are well documented and reviewed six monthly. Personal Care Plans [PCPs] identify the life styles and choices and individual preferences of those being supported. The drawing up MAPs and PATHs is developing these further. Both of those supported have enjoyed good continuity in terms of who they live with and where they live. Those being supported were participating in activities, which their PCPs identify as enjoyable to them. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 11 Where possible, those being supported are encouraged to self-advocate. Risk assessments and vulnerability analyses are undertaken to promote the independence of those being supported whilst undertaking certain activities. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 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): 12, 13, 15, 16, 17, Those being supported undertake appropriate recreational activities both within and outside the home and in the local community. There are good links with the community. Those being supported are encouraged to maintain and develop relationships. Staff recognise the rights and responsibilities of those being supported. The meals provided offer choice and variety and the food preferences and eating habits of those being supported are respected. There needs to be better recording of the food eaten. EVIDENCE: Those being supported were taking part in activities such as music, reading, cooking, watching TV and videos, doing crosswords, doing domestic chores, having manicures and pedicures and having visits from family. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 13 Those being supported participate in activities in the community such as attending Donkin Hill day centre, going for walks, visiting shops, making trips into town, attending local fetes, attending a social club, visiting family and friends, going out in the car and going to local jumble sales and markets. One person being supported reported that one neighbour had recently started talking to her. Significant family members are identified in Essential Lifestyle Plans. Those being supported reported having visits from relatives and said that visitors are made welcome at the home. Those being supported are also encouraged to keep in touch with relatives or friends by phone. Training on values and attitudes forms part of induction training to enable staff to promote equality and diversity. Those being supported have been offered keys to their bedrooms and have front door keys. They confirmed that they choose when to have company and when to be alone. Those being supported are encouraged to take responsibility for changing their own bed linen, doing the dusting and sorting the mail. Staff and those being supported compile menu plans weekly. The records of the food provided were not up to date. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 14 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, 20. Those being supported receive their personal care in the way they wish. The home was meeting the physical and emotional needs of those being supported. The medication administration procedures are good. EVIDENCE: A male support worker provides personal support to these women at weekends. However, when personal or intimate care is required a female support worker from the other care home the manager manages is asked to attend. Those being supported have their health care needs met by the community health services. There is evidence of good, regular, multi-disciplinary working. Those being supported receive the specialist support and advice they need. They do not have named care managers and the home uses the on-call care officer from the South Oxfordshire Learning Disabilities Team when required. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 15 An examination of medicines, records and medication administration procedures confirmed that high standards are achieved in this area of practice. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 16 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, 23. The home has a complaints procedure. There are systems and training in place to protect those being supported from abuse. EVIDENCE: The CSCI has received no complaints about this service since the last inspection. The home has received no complaints in the last 12 months. The home has a complaints policy that includes the contact details of the CSCI. Those being supported are given a copy of the Service User Guide containing the home’s complaints procedure. Complaints leaflets are also available from the home. Compliments received are recorded and monitored monthly. No adult protection investigations were undertaken since the last annual inspection and no staff were referred for inclusion on the Protection of Vulnerable Adults [POVA] list. The home has well-written and clear policies on the Protection of Vulnerable Adults from Abuse and ‘whistle blowing’. Staff receive training on the protection of vulnerable adults from abuse as part of induction and on-going training. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 17 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, 30. The home provides a comfortable, domestic environment. The home is clean and hygienic. EVIDENCE: The home is kept in good repair through a programme of routine maintenance and renewal. Since the last inspection the stair lift has been removed and so the fire evacuation procedures have been updated. It is intended to replace the ramp to the garden with wide steps for the benefit of those with walking frames. The ground floor bedroom would benefit from redecoration. One person being supported requested that the trip switch in her bedroom be removed as it was bothering her. The manager was asked to consult with the fire service regarding the safety of this and regarding two fire exits requiring the use of mortice locks and keys. The home has no fire alarms, only smoke detectors. The home is due for an electrical wiring certificate in 2006. This home reflects the interests of those being supported. Each person has their own bedroom and there is a sizeable lounge/dining room for pursuing chosen activities. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 18 The home was bright, clean, tidy and fresh smelling at this time. Twice-daily checks and records are kept of hot water temperatures. The bath hoist was not checked in the previous 12 months. The environmental health inspection of September 2005 required that an asbestos survey be carried out at both this home and the other one nearby. The manager confirmed that this was due to be carried out the week following this inspection. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 19 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, 33, 34, 35. The home has not achieved the target of 50 of care staff to achieve NVQ Level 2 by 2005. Progress has been made in addressing staff shortages. Staff recruitment procedures were confirmed to be adequate. Staff have a good understanding of the support needs of those being supported and have received appropriate training and adequate supervision and support. EVIDENCE: Of the eight care staff currently employed, only two have NVQ Level 2 or above. The home has therefore not achieved the target of 50 of care staff to achieve NVQ Level 2 by 2005. The manager is NVQ Level 4 qualified and has the Registered Managers Award. The home now only needs to recruit one part-time support worker to be fully staffed. The effects of this understaffing are minimised by employing staff from the Donkin Hill day centre who are known to those being supported and regular staff from two outside agencies. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 20 Staff confirmed the level of staffing to be adequate. Night staffing consists of one member of staff asleep on-call’ in the home. Staff confirmed the training received to be adequate and were looking forward to receiving specific training on diabetes. At present manual handling training is refreshed only every three years and health and safety training every five years. It is recommended that the frequency of this training be reviewed with a view to having such training more frequently. Evidence of CRB checks undertaken on all new staff employees since the last inspection were not available at this time as these are kept at the Human Resources Department of New Support Options. The manager is asked to send the CSCI a summary of these. Staff spoken to confirmed that they receive adequate supervision and support. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 21 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, 39, 40, 42, 43 The home benefits from having a very experienced and qualified registered manager. Those being supported are consulted about how the home is run. The home has all the required policies and procedures to safeguard the health and safety of those being supported. All proprietors’ monthly reports of unannounced visits to the home must be sent to the CSCI for information. EVIDENCE: The home has had the same manager since 1993. Those being supported are regularly asked their views and opinions at house meetings. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 22 All the required policies and procedures are available. All of the maintenance and associated records are available. Very frequent fire training and full evacuations take place and the home had a current fire risk assessment. The fire log is maintained to a high standard. Control of Substances Hazardous to Health [COSHH] assessments were reviewed recently. Timely checks are undertaken of the home’s electrical equipment. A proprietor’s monthly report was not received by the CSCI for September 2005. 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 7 Wychwood Close Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 X 3 2 DS0000013220.V271948.R01.S.doc Version 5.0 Page 24 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 YA17 Regulation Requirement Timescale for action 31/01/06 17[2] Record the food provided in Sch. 4 No. sufficient detail to enable any 13 person inspecting the records to determine whether the diet is satisfactory or not. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Refer to Standard YA24 YA32 YA32 Good Practice Recommendations Arrange for the bath hoist to be serviced. Review the frequency of the training identified. Achieve the target of 50 of care staff to achieve NVQ Level 2 as soon as possible. 1 2 3 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 7 Wychwood Close DS0000013220.V271948.R01.S.doc Version 5.0 Page 26 - 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. 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