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Inspection on 14/12/05 for Great Wyrley Community Support Unit

Also see our care home review for Great Wyrley Community Support Unit for more information

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 Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The unit continues to provide a rolling programme of respite stays that are booked in advance and residents confirmed provide a high standard of care. Residents said they like coming to the unit because staff are caring and nothing is too much trouble for them. Individuals had an understanding of the need for carer at home to have a break and looked forward to respite stay as positive. Residents in reable-ment said the unit provided a safe place to stay whilst they recovered and staff gave them confidence whilst caring for them.

What has improved since the last inspection?

The new kitchen is up and running residents spoke highly of the food provided. Staff felt the arrangement gave more flexibility of choice of times to eat and food now meals are being prepared on site and not coming over from the day centre. Redecoration and refurbishment continues to take place.

What the care home could do better:

The smoking room is not a very pleasant area for none smokers to sit if they use a computer due to stale cigarette smell and a resident may wish to smoke. The Inspector recommends that the computer be relocated out of the smoking room into one of the lounges or onto a mobile computer station that can be taken into resident`s bedroom.Internet access to telephone sockets in bedrooms would also provide an additional service for residents as most have this at home if they use computer.

CARE HOMES FOR OLDER PEOPLE Great Wyrley Community Support Unit 156 Walsall Road Great Wyrley Near Walsall WS6 6NQ Lead Inspector Kathryn Marks Unannounced Inspection 14th December 2005 09:30 X10015.doc Version 1.40 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 Great Wyrley Community Support Unit DS0000028926.V270599.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 Older People. 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. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Great Wyrley Community Support Unit Address 156 Walsall Road Great Wyrley Near Walsall WS6 6NQ 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) 01922 419829 Staffordshire County Council, Social Care and Health Directorate Jane Louise Lawton Care Home 16 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (8), Learning disability (8), Mental disorder, of places excluding learning disability or dementia (2), Mental Disorder, excluding learning disability or dementia - over 65 years of age (8), Old age, not falling within any other category (16), Physical disability (8), Physical disability over 65 years of age (16) Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Eight beds to be used for respite care Eight beds to be used for reablement care. Two Dementia (DE) minimum age 50 years on admission. Eight Learning Disability (LD - Minimum age 21 years on admission. Eight Physical Disability (PD) - Minimum age 18 years on admission. Two Mental Disorder (MD) - for named existing service users only who receive the service currently. 21st June 2005 Date of last inspection Brief Description of the Service: Great Wyrley community support unit is a purpose built facility that can accommodate sixteen short stay service users. All accommodation is provided on the ground floor and comprises of sixteen single en/suite bedrooms. Eight of the beds are used for respite care and eight are used for re-ablement. There is one assisted bathroom with toilet and a fully assisted shower room. There are four separate lounge and dining areas. The eight respite beds provide short stay residential care services to adults and the short stays are usually of one to two weeks duration. The eight re-ablement beds provide short stay residential care for service users, which is a stepping-stone between hospital discharge and returning to their own home. The typical length of stay has been between six to eight weeks and both physiotherapy and occupational therapy are strong components of the care being delivered. Care is provided in the respite unit by community support workers and by reablement assistants in the re-ablement unit. A Head Of Home is managing the unit as a whole. Health service professionals are accessed when required and local GPs and a pharmacist service the home. A physiotherapist and an occupational therapist are directly employed for the reable-ment beds. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection was carried out over half a day on the 14th December 2005. During today’s inspection the inspecting officer received comments from residents staying at the unit. “I love it here and the staff” “ I come every six weeks and go to the on site day centre” “staff are ever so good they never complain” “make you feel special”. There was a lovely atmosphere on entering the home very relaxed. All comments were of a positive nature and provided evidence that residents were satisfied with the manner in which services are provided to them and care is carried out at the unit. The district nurse visited the unit and confirmed to the Inspector that good relationships exist between the unit and the health care team. During the inspection staff provided information regarding staff training, menu and dietary provision that was observed by the inspector to be in place at the home. On arrival at Great Wyrley Support Unit individuals were completing breakfast and sitting chatting. Individuals were deciding on their daily routine and plans for the day one resident on respite stay was going to the on site day centre as he had a permanent place there. Resident’s accommodation is located on the ground floor and provides eight respite beds and eight reable-ment beds in en/suite accommodation with communal lounges and kitchenette/dining areas. Observations of the Inspector were that the home was clean and maintained to a high standard. Resident’s bedrooms had some personal possessions to individualise them but this is a respite/short stay unit and it depends what the resident chooses to bring with them. All residents have a full assessment of their needs carried out prior to admission to the unit. Arrangements are in place for meeting the health and personal care needs of residents when visiting the unit and details are recorded in care records. Regular social opportunities are available for individuals who wish to be involved but again this depends on who is in the unit. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 6 Residents are provided with a varied and wholesome diet, mealtimes are flexible, dining rooms are homely and pleasant to sit in and have a meal. Residents spoke highly of the food provided for them from the new on site kitchen, which has made choice of food more flexible. The home has a complaints procedure in place that residents were aware of and is given to them on admission to Great Wyrley Support Unit. The complaints procedure is also displayed in the unit along with details of how to contact the Commission for Social Care Inspection. Appropriate recruitment procedures are in place and all staff prior to employment has Criminal Records Bureau and Pova checks carried out. What the service does well: What has improved since the last inspection? What they could do better: The smoking room is not a very pleasant area for none smokers to sit if they use a computer due to stale cigarette smell and a resident may wish to smoke. The Inspector recommends that the computer be relocated out of the smoking room into one of the lounges or onto a mobile computer station that can be taken into resident’s bedroom. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 7 Internet access to telephone sockets in bedrooms would also provide an additional service for residents as most have this at home if they use computer. 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. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. The homes Statement of Purpose and Service Users Guide provides prospective residents with details of the services the home has to offer enabling an informed decision about admission to be made. EVIDENCE: The homes Statement of Purpose and Service users guide is given to residents and relatives clearly describing the services and facilities the home is able to provide. All residents have contracts of their terms and conditions of residence at Great Wyrley Support Unit copies of which are in files. A full assessment of individual needs is carried out prior to admission to ensure the needs of individuals can be appropriately met. Separate assessment forms are in place for respite clients or reable-ment clients. Where possible staff from the unit would visit the individual prior to respite stay in their own home or current surroundings. The outcome of assessments is confirmed to the resident/relatives in writing. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. The health, personal and social care needs of individuals is well met with evidence of good multi disciplinary working practices taking place. The systems for the administration of medication are good with clear comprehensive arrangements being in place to ensure resident’s medication needs are met. EVIDENCE: As at the previous inspection all residents had an individual plan of care that is divided into modules relating to specific areas. Risk assessments are carried out and were observed to form part of the care records. Two residents care records were observed residents spoken with and bedrooms visited. All contacts regarding health and personal care are recorded in care records. One resident was taken ill during this inspection paramedics were called and staff dealt with the situation swiftly and sensitively. The home provides a lockable facility for residents who self medicate but this depends on who is on a respite/reable-ment stay at the home. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 11 Detailed records are in place for the administration of medication all of which is securely stored. The Care Manager and Assistant Manager have completed The Safe Handling of Medicines at Stoke College. Local Authority policies are in place to inform staff of systems and procedures in the home. All residents were spoken with and during conversations with them confirmed that they are treated with dignity and respect by staff at the unit. The home has in place a policy/procedure for death and the dying that is discussed with residents/relatives at the time of producing the care plan on their first respite stay. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15. The systems for consultation with residents at the unit are good with individuals at the time of this inspection confirming their views are sought. Constantly changing population a relaxed friendly atmosphere with residents moving freely in and around the unit. Meals in the respite/reable-ment unit offer both choice and variety catering for special dietary needs as required. EVIDENCE: Discussions with residents identified that they all enjoyed their respite stays at the unit. Individuals come to the unit to give carers a break so whilst family contact is maintained visitors come as they wish. Residents in the reable-ment unit talked about home visits they would be going on and how they looked forward to going home at some stage. One lady was on a home visit today and may go home before Christmas three other residents said they were looking forward to spending Christmas together in the unit. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. Great Wyrley Support Unit has a satisfactory complaints system with some evidence that residents know about the procedure and who to talk to. EVIDENCE: As at the previous inspection there have been no complaints received about Great Wyrley Support Unit since the last inspection. The unit has a complaints procedure in place this is displayed for residents/relatives and is contained in the service users guide. The home has in place a book to record any complaints and how they are dealt with. Discussions with some residents on respite/reable-ment stay identified that they were aware of the complaints procedure. All current residents had family involvement and dealt with their own finances. Residents are protected from abuse by staff awareness, observations, and training. Policies and procedures are in place at the home. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. The standard of the environment within Great Wyrley Support Unit is good providing residents with an attractive and homely place to spend a short stay or reable-ment visit. EVIDENCE: As at previous inspections the unit generally is well maintained and suitable for its stated purpose. The designated smoking room houses the computer for residents this is not a pleasant area if you are not a smoker. It is recommended that the computer be relocated. Programmes of routine maintenance are in place with work identified having been carried out. Externally there are attractive grounds with level walkways some ramped and rail exits and seating for residents. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 15 There are sixteen beds at the unit all have an en/suite facility and if they wish residents bring in small items to personalise rooms when on short stay visits. Assisted bathing, showers and separate toilets are located around the home. Where individuals require specialist equipment they usually have this at home and bring it with them on short stay visits. If necessary the unit could provide this. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Staff morale at the unit is good resulting in a happy workforce that works positively with residents to improve their whole quality of life and make their stay at the unit a positive experience. Staffing levels, staff training and experience were to a good level and staff on duty-displayed knowledge of the needs of residents in their care. EVIDENCE: On arrival for this unannounced inspection there was a relaxed friendly atmosphere in the unit with staff working as a team over respite and reablement units. Observations of staff on duty were as the rota and were sufficient in number to meet the observed needs of individuals in there care. Robust local authority recruitment procedures are in place to employ staff Criminal Records Bureau checks are carried out along with Pova checks prior to permanent employment being offered. There is a staff-training programme in place with records being maintained of training carried out and planned. The majority of staff has NVQ Level 2/3. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,36,37,38. The Manager at Great Wyrley Support Unit is well supported by external Managers from the Local Authority that provide line management to the unit. All staff demonstrates an awareness of their roles and responsibilities, ensuring that the health, safety, and welfare of residents are observed. EVIDENCE: The Head of Home is qualified, competent and experienced to manage the units. She is National Examining Board of Supervisory Management D32 & D33 Assessor, Fully Qualified in First Aid. The Head of Home has now obtained The Registered Managers Award. There are clear lines of accountability within the home and with external managers. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 18 As at the previous inspection the registered manager ensures so far as is reasonably practicable the health safety and welfare of service users and staff. Safe working practices are in place and staff had received training in moving and handling, fire safety, first aid, food hygiene, and infection control. Training records are maintained and updates are arranged as required. Hazardous substances are securely stored and certificates for servicing are in place. External security lighting is in place with risk assessments on the building and external exits being carried out. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 4 4 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 3 X 3 3 3 Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? NO 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. 1. Refer to Standard OP20 Good Practice Recommendations Computer be relocated in a non smoking area. Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Great Wyrley Community Support Unit DS0000028926.V270599.R01.S.doc Version 5.0 Page 22 - 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. 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