Inspection on 02/08/05 for The Lady Verdin Trust Ltd - Wellswood Drive

This inspection was carried out on 2nd August 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.

Other inspections for this house

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

The Lady Verdin Trust Ltd -... 14/02/06

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 CW2 6PE Lead Inspector Val Flannery Announced 2 August 2005 3:00 pm 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Lady Verdin Trust Ltd - Wellswood Drive Address 1 Wellswood Drive Wistaston Crewe Cheshire CW2 6PE 01270 668802 01270 256 900 conded@ladyverdintrust.com The Lady Verdin Trust Limited 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) Miss Deborah Conde Care Home 3 Category(ies) of Learning disability (3) registration, with number Physical disability (3) of places The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The total number of Service Users must not exceed 3 2 3 of the Service Users may be LD 3 3 of the Service Users may be PD Date of last inspection 6 January 2005 Brief Description of the Service: 1 Wellswood Drive is a care home for three adults with a learning disability. Located on a residential estate on the outskirts of Crewe the home is close to shops, church and other local facilities. It is also on the bus route to Crewe town centre. All the bedrooms in the bungalow are single and contain handwashing facilities. Sufficient bathrooms and toilets are provided for service users. Communal space consists of a separate dining room and a lounge which leads out to a secure garden to the rear of the home. The home has a people carrier which is used to provide transport for service users. Provision has been made for service users with mobility problems. Staff are on duty twenty four hours a day to deliver care to service users. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over four hours on the 2nd August 2005 as part of the yearly inspection process. One hour was spent preparing for the inspection that included reading the previous inspection report and reviewing the service history for the home. All the residents were spoken with during the inspection. Two relatives and the three staff on duty were also spoken with. A partial tour of the building was carried out. Two residents’ records were seen as were a number of the home records. 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. Residents and relatives said staff are helpful and caring. Relatives said their concerns/worries are listened to and acted upon. 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 which 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 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 Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 6 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. 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 F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 standard(s) 1/2/3/4/ Residents’ care needs are identified, monitored and action taken to meet these needs. The statement of purpose and service user guide ensures information is available on the services offered by the home. EVIDENCE: The current service user group have lived in the home for a number of years. Residents 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. A statement of purpose and service user guide was available which showed the services offered by the home. It is the policy of the organisation that prospective residents are able to visit the home before making a decision about moving in. The two relatives spoken with said the home continues to meet the residents needs. Also that the home is looking at various courses/activities that will help fulfil the residents. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 standard(s) 6/7/8/9/ Residents’ care needs have been identified and included in their plans of care. The home is able to meet these needs. Risk assessments identify possible dangers to residents and safe guards are in place to protect them. EVIDENCE: The plans of care contain a wide range of information on residents and how their assessed care needs are to be met. Included was the level of staff support required by residents in their daily lives. The care files seen were well laid out and contained information which was up to date. Assessed care needs of residents showed that they need staff support with every aspect of daily living. This includes using the bathroom, toilet, eating and moving about the home. Staff were observed helping residents with these tasks in a sensitive and caring manner. Wherever possible residents are encouraged to take responsible risks as part of their independent lifestyle, for example, when they go out in the garden, moving about the home and using local shops. Risk assessments are in place which identify health and safety issues for service users. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 10 Relatives said they are consulted about residents and changes to their care. They said in the years they have been visiting the home they have always seen staff help and support residents. Examples given by the relatives include asking staff asking residents to choose the décor for their bedrooms. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 standard(s) 11/12/13/14/15/16/17 Residents are offered a varied and stimulating lifestyle and are appropriately supported by staff. The menus reflect the residents’ preferences and choices. 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 residents, supported by staff, were playing board games. Also one resident was out with her parents. The manager said that service users are supported to use local shops and other amenities. Included in the plans of care was the level of staff support required by service users to access these amenities. Relatives said the home has arranged holidays for the residents. This was confirmed in the care plans. The relative spoken with said they were renting a specially adapted allotment for the resident. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 12 Mealtimes are flexible with residents able to eat their meals at their own pace. The record of menus showed that choices are offered to residents which reflect their personal preferences. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 standard(s) 18/19/20 Residents’ health and personal care needs are set out in their plans of care. The home ensures these needs are met. Staff give full support with residents’ health and personal care needs EVIDENCE: Staff were observed helping residents with personal care tasks, for example, using the bathroom, having a drink. They were also seen talking with residents and responding to their individual personal needs. The plans of care showed service users’ preferences on how they wished to be cared for are recorded. Because the current resident group have lived in the home for some time staff have developed an awareness of their care needs. A separate file is kept on each resident in which their healthcare needs have been assessed and recorded. Plans of care seen showed that residents receive visits from doctors, nurses and other health professionals. The reasons for the visits and the recommended treatment were also recorded. The manager confirmed that providing a comprehensive level of personal and healthcare is a priority. Staff support residents to attend hospital, dental and other appointments. Satisfactory arrangements were in place for the administration of medication to residents. Residents require full assistance with the administration of medication. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 14 The relatives spoken with said the resident healthcare needs are ‘well looked after’. They also said they are kept informed of any incidents/accidents involving the resident. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 standard(s) 22/23 Satisfactory procedures are in place to respond to complaints and adult protection issues. Relatives know who to see if they have any complaints about the home. 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. The home has received one complaint since the last inspection. This was from a neighbour and was concerning work carried out by staff on the garden. The issues raised were resolved satisfactorily. 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 F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 standard(s) 24/25/26/27/28/29/30 A safe and comfortable standard of accommodation is provided for residents. There is enough shared space to meet the needs of residents. EVIDENCE: The home is a domestic type building that provides residents with a wellmaintained, comfortable and homely environment. 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. One resident said she chose the colour scheme as well as the furniture for her bedroom. Another resident was happy to show the changes that had taken place in his bedroom Sufficient toilet and bathing facilities are provided for the residents. These areas have doors that can be locked which ensures the privacy and dignity of residents is protected. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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. Relatives spoken with said the home has always been well decorated, clean and tidy. They also said staff ask residents’ opinions about any changes/maintenance work to be carried out in the home. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31/32/33/35/36 Staff are employed in sufficient numbers to meet the needs of residents. Residents are cared for by appropriately trained and supervised staff. EVIDENCE: 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. These numbers can include the registered manager. The Lady Verdin Trust provide on-going training for staff including NVQ training in care this will help staff further improve their skills in caring for service users. A number of staff have achieved NVQ Level 2/3. The Trust also provides induction training for staff called Supported Assistant General. Staff spoken with said they receive supervision and support from the manager which ensures they are aware of their responsibilities in caring for residents. Staff meetings are held where staff roles and responsibilities are also re-enforced. Details on staff are kept in the home as required. During the inspection staff were observed providing personal care to residents. They also spent time with residents playing board games and talking with The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 19 them. Residents were comfortable in the company of staff and were able to approach them for help. Residents, and relatives, said the staff are helpful and will do what they can to improve their quality of life. For example, when one resident was recently admitted to hospital staff visited every day to ensure he was being cared for. Staff were concerned that, because of the resident’s limited communication, he may not have received the level of help he needed. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37/38/39/42/43 The arrangements for managing the home are satisfactory. The health, safety and welfare of service users underpins the overall management of the home. EVIDENCE: The manager has worked for the Trust in a senior capacity for a number of years. She is also the registered manager for another home that is run by Lady Verdin Trust and is located in Crewe. Training on the day-to-day skills required to manage a care home is provided by the organisation’s training manager. The manager has the experience and knowledge to ensure the home is run in the best interest of residents. Staff confirmed that the management approach encourages input from residents, relatives and staff on the services offered. They also said the manager offers leadership and direction to ensure the assessed care needs of The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 21 residents are met. The staff spoken with said they receive support and supervision from the manager. The Trust have provided a comprehensive range of policies and procedures, copies of which are kept in the home and are available to staff. These and other records have been provided to ensure residents’ rights and best interests are protected. A partial tour of the building was carried out which showed that health and safety issues are addressed. The fire safety record seen showed that regular fire checks, drills and staff training is carried out. A letter was received from the Borough of Crewe and Nantwich (Environment and Development Department) which said that at their last inspection ‘no major contraventions of’ the Food Safety (General Food Hygiene) Regulations 1995 were found. The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lady Verdin Trust Ltd Wellswood Drive Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 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. 1. Standard Regulation None 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 None Good Practice Recommendations The Lady Verdin Trust Ltd Wellswood Drive F51 F01 S6558 1 Wellswood Drive LVT V233196 020805 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 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. 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