Inspection on 14/11/06 for Great Wyrley Community Support Unit

This inspection was carried out on 14th November 2006.

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.

Other inspections for this house

Great Wyrley Community Support... 31/10/07

Great Wyrley Community Support... 14/12/05

Great Wyrley Community Support... 21/06/05

Great Wyrley Community Support... 01/11/04

Great Wyrley Community Support... 19/05/04

Great Wyrley Community Support... 26/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOMES FOR OLDER PEOPLE Great Wyrley Community Support Unit 156 Walsall Road Great Wyrley Near Walsall WS6 6NQ Lead Inspector Mrs Kathryn Marks Key Unannounced Inspection 14 November 2006 09:40 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 X10015.doc Version 1.40 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. X10015.doc Version 1.40 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 419054 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) X10015.doc Version 1.40 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 reable-ment 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? 14/12/2005 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 the remaining eight are used for enablement. There are one assisted bathroom with toilets 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 re-ablement assistants in the re-ablement unit. There is a Home Care Manager for re-enablement with the unit as a whole being managed by a Head Of Home.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 reablement beds. X10015.doc Version 1.40 Page 5 X10015 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was carried out on the 14th November 2006. Observations were made of records, systems and procedures in the community support unit. Discussions took place with service users and a walk around the physical environment identified that the support unit is well maintained and comfortable. Comments made by service users today were of a positive nature about short stay visits to the unit providing evidence that individuals were satisfied with the manner in which they are cared for. Eight service users feedback questionnaires were received, two from the community nursing team, four from relatives all made positive comments about the community support unit. The Care Manager provided information regarding staffing, 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 had completed breakfast and were deciding on their daily routine and plans for the day. 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 service users 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 service users 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. Service users are provided with a varied and wholesome diet, mealtimes are flexible, dining rooms are homely and pleasant to sit in and have a meal. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 6 The home has a complaints procedure in place that service users 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: Carry out work on the walkway from the car park to respite re-ablement entrance doors. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 7 This path shows sign of what could be subsidence or collapsed drain. 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. The summary of this inspection report can be made available in other formats on request. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 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.V316688.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 1, 3 were reviewed at this visit. The homes Statement of Purpose and Service Users Guide provides prospective service users 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 service users and relatives clearly describing the services and facilities the home is able to provide. A full assessment of individual needs is carried out prior to admission to ensure the needs of service user can be appropriately met. Separate assessment forms are in place for respite clients or reable-ment clients. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 10 The home prefers the service user and family to visit the unit to look around. Staff would discuss with them how they want to be cared for, discuss medication, likes dislikes and food preferences. Historical information is obtained to enable the home to start producing care plan. Service users and relatives input into the care plan. The last two service users assessments were reviewed and found to be detailed and informative. The outcome of assessments is confirmed to the resident/relatives in writing. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 7, 8, 9, 10 were reviewed at this visit. 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 service users 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. Three service users care records were observed these were detailed and up to date. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 12 All contacts regarding health and personal care are recorded in care records. The home provides a lockable facility for service users who self medicate but this depends on who is on a respite/reable-ment stay at the home. At the time of this visit there were two service users self-medicating following risk assessments. There are lockable facilities in all service users bedrooms. Detailed records are in place for the administration of medication all of which is securely stored. Senior staff have completed the management of medication course. Local Authority policies are in place to inform staff of systems and procedures in the home. Service users were spoken with and during conversations with them confirmed that they are treated with dignity and respect by staff at the unit. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 14, 15 were reviewed at this visit. The systems for consultation with service users at the support unit are good. Constantly changing population a relaxed friendly atmosphere with service users 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: As at previous inspection discussions with service users identified that they all enjoyed their respite stays at the unit and in the case of reable-ment found them helpful. One resident in the reable-ment unit was discharged home today. Individuals come to the unit to give carers a break so whilst family contact is maintained visitors come and go as they wish. Outings are arranged but this depends on who is at the unit at the time. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 14 Activities are organised following discussion with service users but there is a constantly changing population. Two weekly menus that are flexible offer a variety of traditional food with special diets being catered for. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 16, 18 were reviewed at this visit. Great Wyrley Support Unit has a satisfactory complaints system with some evidence that service users 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 the local authority complaints procedure in place this is displayed for service users/relatives and is contained in the service users guide. The home has a complaints/grumbles book in place this was seen by the inspector and minor grumbles had been dealt with by the home. Discussions with some service users on respite/reable-ment stay identified that they were aware of the complaints procedure. All staff are booked to do Adult Abuse course and are awaiting confirmation of dates from social services. Vulnerable Adults training is done in house by the management team via supervision. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Standards 19, 26 were reviewed at this visit. The standard of the environment within Great Wyrley Support Unit is good providing service users with an attractive and homely place to spend a short stay or reable-ment visit. Externally there are issues with the pathway. EVIDENCE: The physical environment at this unit is well maintained with an ongoing redecoration/routine maintenance programme in place. The computer has now been moved from the smoking area to the lounge where it is well used. Externally there are issues with sunken areas of the pathway that present a hazard to elderly people, staff, and anyone using the pathway. Observations when walking around the unit were of a clean odour free environment. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 27, 28, 29, 30 were reviewed at this visit. Staff on duty at Great Wyrley Support Unit were competent satisfactory in number and working together for the benefit of service users. There are robust recruitment procedures in place. EVIDENCE: Staff rota seen staff on duty were as rota and satisfactory in number to meet the needs of residents in their 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 however currently no recruitment taking place. Staff training is ongoing the home promotes NVQ training for all designations of staff. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 31, 33, 35, 38 were reviewed at this visit. 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. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 19 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 The Registered Managers Award. There are clear lines of accountability within the home and with external managers. Quality assurance is monitored via 6 monthly audits by line management ensuring the service is run in the best interests of service users. The unit does not manage the finances of service users unless someone specifically asks them to put something in the safe. 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 all mandatory training. Training records are maintained and were seen. Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 20 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 X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 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 X 4 X 3 X X 3 Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP19 Regulation 23 (2) (o) Requirement External grounds, which are suitable for, and safe for use by, service users are provided and appropriately maintained; indentations/dips in the pathway must be attended to. Timescale for action 01/12/06 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 Great Wyrley Community Support Unit DS0000028926.V316688.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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.V316688.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!