Inspection on 09/05/05 for 7 Wychwood Close

This inspection was carried out on 9th May 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 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

7 Wychwood Close 28/01/08

7 Wychwood Close 10/08/06

7 Wychwood Close 14/12/05

7 Wychwood Close 08/10/04

7 Wychwood Close 08/07/04

7 Wychwood Close 19/01/04

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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 7 Wychwood Close Sonning Common Oxfordshire RG4 9SN Lead Inspector Lilian Mackay Unannounced 09 May 2005 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 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 Stationary 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 H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 7 Wychwood Close Address 7 Wychwood Close, Sonning Common, Oxfordshire, RG4 9SN Telephone number Fax number Email 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 H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The total number of persons that may be accommodated at any one time must not exceed 3 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 disabilies, both under and over the age of 65. All those being supported are admitted on a permanent basis. Their physical independece is decreasing as they become older and the home cannot be fully adapted to meet these needs. Therefore, the home cannot guarantee being a home for life. This is being addressed and those being supported are to be given the choice of alternative, more suitable accommodation. All the places at the home are purchased by Social and Health care. The home is owned and managed by New support Options Ltd., a charitable organization with experience in providing services for people with learning disabilities. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place between 5.45pm and 9.00pm on Monday, 9 May 2005. The purpose of this visit was to see how the home is meeting the National Minimum Standards for Care Homes for Younger Adults. The inspector spent most of the time with the three women being supported at this time and the one member of staff on duty. The inspector listened to their views and discussed their experiences. The inspector examined the fire log, the records of those being supported, medication records and the minutes of staff meetings and observed those being supported participating in a range of activities. The home has a caring, relaxed and friendly atmosphere and those being supported are encouraged to socialise with each other. The three women being supported at the time of this visit were very relaxed with the staff member on duty. The inspector observed kind, caring and supportive interactions between the staff member and those being supported. Those being supported told the inspector that they are happy with the food provided. A staff member described the week’s induction training she received as “Comprehensive” and stated that she was very impressed. The inspector would like to thank those being supported and the staff member on duty at this time for their assistance, hospitality and courtesy during 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. Those being supported have had a lot of continuity in their lives in terms of who they live with, where they live and who looks after them. All those being supported have a health action plan. The home provides a service which is tailored to individual needs. The service promotes and protects the health and safety of those being supported. The records are up to date and accurate. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 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. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 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 standard(s) 3 Those being supported enjoy continuity in terms of who they live with, their accommodation and those looking after them. EVIDENCE: The three woman being supported at this time have lived together for a long time. They have discussed with staff their individual wishes about where they live when they leave 7 Wychwood Close. Relations between those being supported and staff appeared good. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 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 standard(s) 6,7 and 8. The home enables those being supported to make decisions in their lives and they are encouraged to give their views and opinions. EVIDENCE: Those being supported told the inspector about a range of activities they enjoy. The home has a key worker system where the care of each person being supported is the responsibility of a named member of staff. Those being supported have person-centred plans which identify their life styles and choices and reflect their individual preferences. Those being supported help to prepare drinks, sometimes meals and assist with cleaning as far as they are physically able to. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 16. Those being supported are encouraged to take part in their chosen activities within the local community. EVIDENCE: Those being supported at this time were all of retirement age. They are treated as individuals and one told the inspector that her wish to be alone at times is respected. All those being supported are registered to vote and one did so on the day of this inspection, which was election day. Those being supported are encouraged to change their bedding and compile the weekly shopping list. Those being supported told the inspector about the different activities they take part in such as attending a day centre, reading newspapers and magazines, watching TV, sewing, going shopping and to the bank and going out for drives. During this visit those being supported and the staff member joked together and talked about past experiences and future plans. Those who are physically able to do so are encouraged to prepare their own drinks and breakfasts. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20. The home was meeting the physical and emotional needs of those being supported. Medications are stored and administered safely and recorded carefully. EVIDENCE: Those being supported are not all physically independent. Their health care needs were being met by the community health services. Those being supported are encouraged to manage as much of their own personal care as they can. All those being supported need assistance with their medication. The inspector examined the well-kept medication records and saw that staff are well-informed of the possible side-effects of the medications given. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The views of those being supported are listened to and acted upon and staff are trained to protect them from abuse. EVIDENCE: Those being supported reported numerous examples of how their views and choices are acted upon and respected. They are given the contact details of CAPOLD, a citizen advocacy scheme. None of those being supported raised any issues with the inspector when she spoke to them at this time. Induction training for new staff includes training on how to protect vulnerable adults from abuse. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,28 and 30. The home is kept in a good state of repair and a programme of maintenance and renewal is in place. Those being supported were comfortable and relaxed. The home was bright, clean, tidy and fresh-smelling at this time. EVIDENCE: The inspector spent most time in the lounge and in the bedroom of one of those being supported. This is a “homely” home which clearly reflects the interests of those being supported. One of those being supported confirmed to the inspector that she was happy in her room and that it contains all the items she wants and needs. Each of those being supported has their own bedroom and there is a large lounge/dining room where those being supported can do their chosen activities. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33 and 35. The home provides good continuity of care in terms of an experienced staff team who are trained appropriately to meet the needs of those being supported. EVIDENCE: The manager has worked with those being supported for a long time, both since they came to live at this home and previously. The one member of staff on duty at this time told the inspector that she is in her six-month probationary period and that she had completed one week’s induction training provided by New Support Options Ltd. It was reported that the home has vacancies for one full-time senior support staff and one part-time support worker. It was reported that two permanent staff have been recruited recently and that staff recruitment is ongoing. The staff member on duty at this time reported that she is doing Learning Disability Award Framework training and that once she completes this and her probationary period, she is going on to do NVQ Level 2 training. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38,41 and 42. Management is safeguarding the safety of those being supported by maintaining accurate and up to date records and this is a well-run home. Staff respect the independence, rights, choices, individuality and privacy of those being supported. EVIDENCE: The various records examined were noted to be of a high standard. These confirmed that equipment checks are carried out when required, reviewed when necessary and are well-recorded. 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 16 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 x x 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 x Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME 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 4 3 x x 3 3 x H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 17 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 Regulation None Requirement Timescale for action 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. Refer to Standard None Good Practice Recommendations 7 Wychwood Close H57-H08 S13220 Wychwood Close V226428 090505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Burgner House, 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. 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