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Inspection on 21/06/05 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 21st June 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.

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 provides a rolling programme of respite stays with a consistently high standard of care. Residents said they try to book in advance for their next visit as it`s a wonderful place staff are great and they feel secure and appreciative of the advice offered to them by staff. Reable-ment has a high success rate in returning residents to the community with support.

What has improved since the last inspection?

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Great Wyrley Community Support Unit 156 Walsall Road Great Wyrley Near Walsall WS6 6NQ Lead Inspector Kathryn Marks Announced 21 June 2005 09:30 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 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service G.W.S Unit Address 156 Walsall Road Great Wyrley Near Walsall WS6 6NQ 01922 419829 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) Staffordshire County Council Jane Lawton Care Home 16 8 16 16 2 8 2 8 8 Category(ies) of DE(E) registration, with number OP of places PD(E) DE LD MD MD(E) PD Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) Eight beds to be used for respite care 2) Eight beds to be used for reablement care 3) Two Dementia (DE) Minimum age 50 years on admision 4) Eight learning Disability (LD - Minimum age 21 years on admission 5) Eight physical Disability (PD) - Minimum age 18 years on admission 6) Two Mental Disorder (MD) - for named existing service users who receive the service currently Date of last inspection 1 November 2004 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 week’s 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. 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. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection was carried out over one day on the 21 June 2005. Prior to the inspection the inspecting officer received responses to seven comments cards five from residents and two from relatives. All comments were of a positive nature and provided written evidence that residents who had responded were satisfied with the manner in which services are provided to them and care is carried out at the unit. The General Practitioner and the district nurse visited the home and confirmed to the Inspector that good relationships exist between the home and the health care team. The Head of the Unit prior to the inspection provided written 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 were completing breakfast and sitting chatting. Inspector was greeted by residents and staff in a friendly manner and invited to sit with them. 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 she 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 home. 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. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 6 Regular social opportunities are available for individuals who wish to be involved. 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. 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: • Complete the kitchen and get it up and running. E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 7 Great Wyrley Community Support Unit 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4,5,6. 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. This has been updated to include the new kitchen and the new responsible individual. 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 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: 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. Four residents care records were observed residents spoken with and bedrooms visited. All contacts regarding health and personal care are recorded in care records. The home provides a lockable facility for residents who self medicate but this depends on who is on a respite/reablement stay at the home. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15. The systems for consultation with residents at the unit are good with individuals on respite stay 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. Conversation was very animated about a trip they had been on to Blackpool last Saturday, lunch in Blackpool and tea in Southport (everyone very amused because the driver had taken the wrong turning). 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 had been on and how they looked forward to going home at some stage. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 13 Choice is promoted by staff who consistently asked all individual residents to make informed decisions about daily routines. One resident was attending on site day services as she already had a place whilst at home. As at previous visits the registered person ensures that service users receive a varied and wholesome diet, mealtimes are flexible, dining rooms are homely and pleasant to sit in and have a meal. Service users spoke highly of the food provided for them. Main meals are provided from the on site day centre kitchen with a choice of food to select from. Meals are transferred in hot trolleys to the units. All staff had received basic food hygiene training, hot and cold drinks and snacks are always available. Special diets can be catered for as required. There were no service users with religious or cultural dietary needs. No service users at this time requiring assistance with their food. The unit’s new kitchen should be open shortly and meals will then be prepared and provided on the unit. Cooks will be employed 9-2 and 1-6 over 7 days as catering support workers they will cook in main kitchen and support residents in reable-ment kitchen. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16,17,18. The home has a satisfactory complaints system with some evidence that resident’s feel their views are listened to. EVIDENCE: 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 15 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 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: The unit generally is well maintained and suitable for its stated purpose. Programmes of routine maintenance are in place with work identified having been carried out. Currently there is a new kitchen being installed. A maintenance person has now been employed. Externally there are attractive grounds with level walkways some ramped and rail exits and seating for residents. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 16 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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: At the time of this visit to Great Wyrley Support Unit 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37,38. 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. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 and Eight years experience as deputy at her previous employment in the care of the elderly. The Head of Home has now obtained The Registered Managers Award. There are clear lines of accountability within the home and with external managers. 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. Inspector observed a positive and inclusive atmosphere. Service users said that they felt comfortable in approaching management if they wanted to discuss any issues. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 4 3 4 4 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 3 3 3 4 4 4 3 3 3 3 3 Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 21 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. 1. 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 19 Good Practice Recommendations Complete the kitchen as soon as possible and get it up and running. Great Wyrley Community Support Unit E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Stafford - 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 E51 E09 S28926 G.W.S Unit V227953 210605 Stage 4.doc Version 1.30 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. 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