Inspection on 14/02/06 for The Lady Verdin Trust Ltd - Wellswood Drive

This inspection was carried out on 14th February 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

The Lady Verdin Trust Ltd -... 18/09/06

The Lady Verdin Trust Ltd -... 02/08/05

The Lady Verdin Trust Ltd -... 06/01/05

The Lady Verdin Trust Ltd -... 15/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Lady Verdin Trust Ltd - Wellswood Drive 1 Wellswood Drive Wistaston Crewe Cheshire CW2 6PE Lead Inspector Mr Val Flannery Unannounced Inspection 14th February 2006 09:30 The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.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 The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.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. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Lady Verdin Trust Ltd - Wellswood Drive Address 1 Wellswood Drive Wistaston Crewe Cheshire CW2 6PE 01270 568302 01270 256900 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) The Lady Verdin Trust Limited Miss Deborah Conde Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The total number of Service Users must not exceed 3 3 of the Service Users may be LD 3 of the Service Users may be PD Date of last inspection 2 August 2005 Brief Description of the Service: 1 Wellswood Drive is a care home providing personal care and accommodation for three adults with a learning disability. It is run by the Lady Verdin Trust, which operates a number of facilities in the Crewe and Nantwich area. The home is located in a residential area of Crewe, close to shops, pubs and other local amenities. The home was opened in October 1995 and consists of a detached bungalow which is in keeping with the local community. The bedrooms are single and contain hand-washing facilities. The area to the front of the building is used as a car park; the garden to the rear of the building is well-maintained and easily accessible to service users. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over three hours on the 14th February 2005. Feedback following the inspection was given to the new manager for the service. Three residents and two staff were spoken with during the inspection. Two residents care files were seen as were a number of other records. A partial tour of the building was carried out. Residents have limited communication capabilities. What the service does well: Staff are aware of the needs of residents and how these are to be met. During the inspection staff were seen spending time with residents and talking to them. A number of staff have worked in the home for some years and are encouraged to attend courses to further develop their caring skills. Residents are offered a choice of meals. Advice is sought from dieticians on the variety and nutritional value of the food. Daily activities for individual residents are included in their care plans. These can be organised by staff from the home or from the organisation’s daily options scheme. As well as attending community day care residents have been enrolled on college courses. One resident has an allotment that has been adapted so that people with a disability can attend to it. Two files are kept on each resident. One has detailed information on the resident’s background, care needs, risk assessments, financial information and other essential information. The second file contains detailed information on the residents’ healthcare and the level of input from doctors, nurses and other healthcare professionals. Residents’ opinions and views are sought on issues such as food, decoration and furnishings. They are also consulted on issues such as the day-to-day running of the home. The Lady Verdin Trust has provided comprehensive policies and procedures such as administration of medication, dealing with complaints and protecting residents from abuse. Copies of these are kept in the home. Staff were aware of these polices and procedures and what to do if a problem arises. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.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 The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.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): 1/2/3/4/ The care needs of residents are monitored by staff; this will help ensure the home is able to meet their care needs. EVIDENCE: The current resident group has lived in the home for a number of years. Resident’s plans of care showed that staff have identified their individual care needs and how these needs are to be met. Because of their limited verbal skills the care offered to service users is closely monitored and any changes recorded. Information on the service offered by the home and organisation would be given to prospective residents and/or their representatives. The Trust has procedures in place whereby prospective residents meet with staff and visit the home before making a decision about moving in. These visits can include overnight stays and visits to meet the other residents and staff. The Trust have a block contract with Social Services that sets out the level of service given to the residents and the terms and conditions of their residency in the home. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.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): 6/7/8/9/10 Residents are enabled to take responsible risks; this will help them achieve as independent a lifestyle as possible. EVIDENCE: The assessed care needs of residents is such that they require staff guidance and support with day-to-day living tasks. During the inspection staff were seen encouraging residents to take responsible risks by, for example, returning crockery to the kitchen following breakfast. The lay out of the home ensures residents can move between their bedrooms and communal areas in safety. Staff spoken with were aware of residents’ limitations and why these are in place. For example, why they required help using the bathroom and getting into/out of their beds. Residents’ plans of care showed that the level of service required by individual residents to maintain an independent lifestyle. Wherever possible residents are consulted about activities, holidays, any changes to the environment and menus. A policy on the confidentiality of information has been provided by the Trust, this is available to residents, relatives, staff and other visitors to the home. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 10 The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 11 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): 11/12/13/14/15/16/17 Residents are enabled to live a fulfilling lifestyle-both inside and outside the home. Personal support is offered in a sensitive and caring manner; this helps residents be as independent as possible. EVIDENCE: Plans of care showed that residents are involved in appropriate activities. This can include hydrotherapy, attendance at a community day centre and day care services provided by Social Services and attendance at college. On the day of the inspection one resident was preparing to go to day care whilst the remaining residents were going to art classes. Included in the plans of care was the level of staff support required by service users to access these amenities. Staff spoken with said they help residents use shops, pubs and local places of interest. This can be on foot or in the home’s mini bus. Staff also said there is a good relationship with the local community. Staff said families and friends are able to visit the home and be involved in the care of the resident. Plans of care showed that details on families are maintained. Daily routines will, according to staff, vary depending on the residents’ daily activities. During the inspection staff were seen talking and interacting with residents. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 12 Records seen showed that residents are offered a choice of menus and that individual residents can have separate choices at each meal. The mealtime seen during the visit was relaxed and unrushed. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 13 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): 18/19/20/21 Residents’ health and personal care needs are set out in their plans of care. Residents receive full support from staff with their care needs. EVIDENCE: A separate file is kept on each resident which showed that their healthcare needs have been assessed and recorded. Plans of care seen showed that residents receive visits from doctors, nurses and other health professionals. Letters were seen that showed residents are supported to attend hospital appointments. The reasons for the visits and the recommended treatment were also recorded. Residents require full assistance from staff with their medication. Records seen of medication administered to residents were signed by staff. During the inspection staff were seen providing personal care to residents, for example using the bathroom, dressing and having breakfast. This was carried out in a caring way that respected their privacy and dignity. The home has lifting aids/hoists to assist those residents with mobility problems. These are used to assist residents with bathing and getting in/out of bed. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 14 The Trust has provided policies and procedures on caring for residents who are ill and on the death of a resident. Copies of these are made available to staff. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 15 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): 22/23 Satisfactory procedures are in place to respond to complaints and to ensure residents are protected from abuse. EVIDENCE: A copy of the complaints procedure was available on the day of the inspection. Details on how to contact the Commission for Social Care Inspection were included in the procedure. CSCI have not received any complaints about the home. The Trust has produced an Adult Protection procedure, a copy of which is kept in the home. Also available was a copy of the government guidelines ‘No Secrets’. Staff spoken with knew about the complaints and adult protection procedures and what action to take if a problem arose. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 16 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 Residents have sufficient space where they can be by themselves in their bedrooms or with others in the communal lounge. EVIDENCE: The home is a domestic type building that provides residents with a wellmaintained, comfortable and homely environment. It is located within walking distance of shops, post office and other facilities. The appearance of the home is in keeping with the local community. A bus stop is nearby which is on the route to Crewe and Nantwich. Bedrooms are individually decorated and furnished, hoists/lifting aids are also provided to assist residents with mobility problems. Bedrooms also contain residents’ personal possessions such as photographs and ornaments. A separate toilet and bathing facilities are provided for the residents. These areas have doors that can be locked to ensure the privacy and dignity of residents is protected. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 17 In addition to their bedrooms residents have access to shared space that includes a lounge and separate dining area. There is a secure, well-maintained garden area at the back of the home. The home was clean, bright and free from unpleasant smells. Since the last inspection the communal lounge has been re-decorated. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 18 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): 31/32/33/35/36 A number of the current staff group have worked in the home got a number of years. This ensures residents are cared for by staff who are aware of their care needs. EVIDENCE: One of the staff on duty during the inspection said he has only been employed by the Trust for the a few weeks. He confirmed he is receiving induction and other training and is well supported by other staff in the organisation. The staffing rota showed that there are normally two staff on duty during the day/evening and one waking plus one sleeping in staff during the night. Residents are also supported during the day by staff from the daily options scheme. On the day of the inspection changes had been made to the staff that were on duty. However, these changes were not shown in the staff rota. See Recommendation Number 1 Staff spoken with said their role and responsibilities are discussed with them in individual supervision sessions, staff meetings and on the job monitoring. They also said they are able to contact a senior member of staff during the day or night for advice and guidance on issues that may affect residents. During the inspection staff were seen communicating with residents in a manner that respectful manner. They were seen helping residents with personal care; this was carried out in a manner that respected the residents’ dignity. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 19 The Trust have arranged a training programme that ensures all staff are given the opportunity to further develop their caring skills. This includes NVQ training in care. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 20 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): 37/39/40/41/42/43 The home is run in the best interest of residents. Their health, safety and rights are protected by the organisation’s policies and procedures. EVIDENCE: Since the last inspection the registered manager has left the organisation. A new manager has been appointed who is in the process of completing her application to be the Registered Manager. Other managers from the Trust are providing support and guidance whilst the new manager is completing her induction training. Staff spoke with were positive in their comments about the new manager and feel her experience will benefit the service. They said the change of manager has not affected the care given to residents. The Trust has provided a range of policies and procedures to assist staff in their caring for residents. Staff spoke with were aware of the policies and procedures and who to approach for advice and guidance. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 21 During the inspection the fire safety records were seen. Include were weekly tests of the alarm system, monthly tests of the emergency lights and drills and evacuations. The following records are not kept in the home: • Gas Safety Record • Potable Appliance Test • Other service records See Recommendation Number 2 A member of the management committee makes monthly visits to the home from the Trust. Regular managers meetings are also held where managers can share knowledge and get advice from colleagues. Managers also receive individual supervision from the chief executive. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 22 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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 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 2 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 3 3 2 3 The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 23 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. 1 2 Refer to Standard YA33 YA42 Good Practice Recommendations The staff rota should what who is on duty. Copies of safety certificates and service records should be kept in the home. The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 The Lady Verdin Trust Ltd - Wellswood Drive DS0000006558.V285045.R01.S.doc Version 5.1 Page 25 - 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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