Inspection on 25/01/06 for 75-77 Wickstead Avenue

This inspection was carried out on 25th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

75-77 Wickstead Avenue 27/02/09

75-77 Wickstead Avenue 16/02/07

75-77 Wickstead Avenue 08/08/05

75-77 Wickstead Avenue 14/03/05

75-77 Wickstead Avenue 27/09/04

75-77 Wickstead Avenue 05/01/04

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 08/07/2008.

CARE HOME ADULTS 18-65 75-77, Wickstead Avenue Luton LU4 9DW Lead Inspector Mr Paul Worthy Unannounced Inspection 25th January 2006 16:30 75-77, Wickstead Avenue DS0000014986.V280070.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 75-77, Wickstead Avenue DS0000014986.V280070.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. 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 75-77, Wickstead Avenue Address Luton LU4 9DW 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) 01582 504217 01582 504217 www.aldwyck.co.uk Aldwyck Housing Association Mrs Anita Meaton Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mrs Meaton should complete her Registered Manager Award and NVQ 4 - Care, by 01 January 2006. 8th August 2005 Date of last inspection Brief Description of the Service: Five adults with learning disabilities live at the home. Mencap is the registered provider, while Aldwyck Housing Association owns the building. On the first floor there are five single bedrooms, two bathrooms and toilets and a sleep-in room for one member of staff. On the ground floor there are two lounges, an office, laundry facility, dining area and kitchen, and a large conservatory. There is a well-maintained garden to the rear of the house. Two adjoining semi-detached houses had been converted into one property, which is not distinguishable from the other houses in the residential area of Luton where it is located. Shops and some local services are all within walking distance. Public transport into Luton town centre runs near the home. 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 4.15 p.m. It took place over 4 hours. The inspector met several of the people living at the home. While some communication was possible the main inspection method was observing the interaction of those living at the home with each other and the staff. Both the member of staff on duty and the manager were spoken to. All of the public parts of the building were inspected and one service user showed the inspector his bedroom. Relevant records were also inspected. All the core standards had been inspected against with the exception of those relating to the environment, staffing and health and safety at the first inspection of the inspection year. All the standards, including the core ones, relating to the environment, staffing and health and safety were inspected against during this second and final inspection for the year. What the service does well: What has improved since the last inspection? What they could do better: 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 6 The manager was planning to review the monitoring and reviewing arrangements that Mencap has in place for the home to ensure that they are brought together as a robust quality assurance system that results in an annual development and business plan for the home. 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. 75-77, Wickstead Avenue DS0000014986.V280070.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 75-77, Wickstead Avenue DS0000014986.V280070.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): None EVIDENCE: 75-77, Wickstead Avenue DS0000014986.V280070.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): None EVIDENCE: 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 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 the following standard(s): None EVIDENCE: 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 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 the following standard(s): None EVIDENCE: 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 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 the following standard(s): None EVIDENCE: 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 27, 28, 29, 30 The accommodation was well maintained and furnished so that it provided those living there with a homely and comfortable environment. EVIDENCE: The housing association that owned the property was seen to be ensuring that the property was appropriately maintained. The accommodation was on a comfortable domestic scale and those living there were seen to be very much at home and able to move around as they wished. The assessment and planning information looked at provided evidence that there was an ongoing attempt to ensure that the accommodation met the needs of those living there and in particular helped them maintain their independence and privacy, even with the onset of physical disability. This included adaptations relating to physical disability and hearing impairment. Those living at the home had their own rooms and the one looked at had been individualised. There was also documented evidence of ongoing planning to ensure the home was maintained in good decorative order. The manager noted that the Housing Association had recently started attending the Stakeholders Meetings that Mencap organised for all those with an interest in the care of those living at the home. 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 14 It was observed that the home was being kept clean and fresh and that there were appropriate arrangements in place to ensure hygiene and infection control. 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 15 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): 31, 32, 33, 34, 35 and 36 Sufficient staff were appropriately trained and organised to ensure that all the needs of those living at the home would be met. EVIDENCE: There was a good staff rota that reflected the staffing on the day of the inspection. This provided evidence that acceptable staffing levels were being maintained when service users were at home. The manager and staff member confirmed that there were enough staff to meet the needs of those living at the home and ensure that normally they could undertake their planned activities. The staff records, staff and the manager confirmed that there were good arrangements for induction, including in-house, LDAF induction training and foundation training. There was also an ongoing programme of NVQ training. There were good records of the training undertaken by staff. Talking to the manager and staff member and observing their interaction with those living at the home provided evidence that there was a good knowledge of the service users and their needs to enable them to live as independently and fully as possible. There were regular handover, supervision and team meetings, which provided support to the staff and the opportunity to ensure that staff met the current needs of the service users in a consistent and informed way. 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 16 The member of staff spoken to had been recently employed and provided evidence that the safe staff recruitment practices of Mencap were being followed. 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 17 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, 38, 39, 40, 41, 42 and 43 The home was well managed so as to ensure that the needs of those living at the home were met in ways that reflected their wishes. EVIDENCE: The home was seen to be well run by a manger, who was giving clear direction and support to the staff to enable them to meet the needs of those living at the home in ways sensitive to their wishes. There were a number of systems in place for monitoring and reviewing the homes functioning. There was also a Mencap policy and procedure that drew these elements together. There was not, however, at the time of the inspection an annual development/business plan reflecting the quality assurance process. The manager, however, was planning to draw one up for the new financial year The Mencap set of policies and procedures that cover all aspects of the standards were seen to be in place. The records looked at were being well maintained, with good up to date assessment and planning information. The 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 18 person centred planning was being taken forward so that it would increasingly inform the individual plans and reviewing process. Mencap had very comprehensive health and safety policies and procedures. The manager felt that the housing association now understood the need for prompt action to ensure the comfort and safety of those living at the home. There was seen to be an appropriate emphasis on a risk assessment approach in respect both of the environment generally and the specific service users. 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 19 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 3 3 3 3 3 3 3 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 20 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations 75-77, Wickstead Avenue DS0000014986.V280070.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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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