Inspection on 04/01/06 for The Wansbeck Limited

This inspection was carried out on 4th January 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 Wansbeck Limited 06/03/07

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 Wansbeck Limited, The 36 Nightingale Road Southsea Portsmouth Hampshire PO5 3JN Lead Inspector Annie Kentfield Unannounced Inspection 4th January 2006 11:15 Wansbeck Limited, The DS0000066186.V276484.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 Wansbeck Limited, The DS0000066186.V276484.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. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wansbeck Limited, The Address 36 Nightingale Road Southsea Portsmouth Hampshire PO5 3JN 023 9282940 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 Wansbeck Limited Mrs M Neil Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2005 Brief Description of the Service: The Wansbeck is a small residential home that offers care for adults under the age of 65 who have mental health care needs. The home is in a pleasant residential area of Southsea, close to the shops and the esplanade and offers a safe and homely environment for 12 residents, both male and female. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection and took place during the late morning/early afternoon. The registered manager was away but the deputy manager was in charge of the home. The inspection looked at some of the home’s records and included discussion with some of the residents and the deputy manager. The inspection did not assess all of the National Minimum Standards – mostly those considered ‘key’ standards; that were not inspected on 5th July 2005. Comment cards were left for residents and/or visitors to complete and return if they wished to. What the service does well: What has improved since the last inspection? Two rooms on the lower ground floor have been converted into additional bedrooms for residents, with a shared bathroom, increasing the number of bedrooms registered from 10 to 12. The owners have also re-registered as a limited company (The Wansbeck Limited). The dining room furniture has been replaced. Doors in the home have been fitted with self-closing mechanisms for fire safety (this requirement has been fully met from the last inspection) Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 6 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. Wansbeck Limited, The DS0000066186.V276484.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 Wansbeck Limited, The DS0000066186.V276484.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): 2 All prospective residents receive a full assessment of their physical, emotional and social care needs before being admitted into the home. EVIDENCE: A new resident has moved into the home since the last inspection and was able to spend some time visiting the home (on 3 or 4 occasions) before moving in. The deputy manager is very aware that the assessment process takes time and is clear that information needs to be gathered from the prospective resident and others involved in their care. Following the initial assessment, the staff allow at least 3 months for the new resident to settle in and for staff to get to know the resident before agreeing an individual care plan. The home has it’s own assessment forms and these are very comprehensive. In discussion with the deputy manager it was recommended that all care documents should be signed and dated by the resident and the person completing the form. (In most cases this was being done). Wansbeck Limited, The DS0000066186.V276484.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 - 10 Residents are supported to make choices about their lives and take informed risks as part of an independent lifestyle. EVIDENCE: Each resident has an individual care plan and these are reviewed every month with the resident and key worker, identifying and reviewing individual goals and aspirations as appropriate. Reviews are agreed and signed by the resident and key worker. In discussion with some of the residents, they were happy with the key worker system and also felt that they could talk to any of the staff if they needed to, at any time. The deputy manager is very clear about the level of care that the home can offer and risk assessments are comprehensive and regularly reviewed. It was evident that residents are encouraged to take part in the daily life of the home and residents were seen going out to shops and taking part in activities of their choice. Residents decide how they arrange their own room and what time they get up or go to bed. At the time of the inspection, Christmas decorations were being taken down, including some made by the residents. The home is very close to local shops, and some of the residents like to walk on the nearby seafront. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 10 The deputy manager has recently introduced a “right to share” form that has been discussed and agreed individually with each resident; on his or her agreement as to who important information may be shared with. Resident meetings are held every other month and this is an opportunity to discuss current events and other issues to do with the running of the home. Wansbeck Limited, The DS0000066186.V276484.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 and 13 (the other standards were assessed at the last inspection) Residents have the opportunity to take part in social and leisure activities both individually and in the local community. EVIDENCE: There are a number of resources, some specifically set up for mental health service users, in the local area. The deputy manager has asked a local centre to produce some packs of information around social, leisure and employment opportunities, so that residents have relevant information in order to make their own choices. It is planned to discuss the information packs at the next residents meeting. Staff know the residents well and sometimes suggest watching a video, or doing a game or activity that residents can join if they want to. One of the staff members has a cooking group on Saturdays and one of the residents said they enjoyed this. Residents and staff made a number of Christmas cakes. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 12 Residents can make snacks or drinks in the kitchen at any time except when meals are being prepared. Residents said they thought the food in the home is “very good”, if there is something on the menu they don’t like, there is always an alternative offered. Wansbeck Limited, The DS0000066186.V276484.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 and 21 (all of the standards were assessed at the previous inspection) Staff are very aware of residents’ physical and emotional health care needs and staff will always accompany residents to any appointments if they want someone to go with them. EVIDENCE: Care staff demonstrated a good knowledge of each resident’s physical and psychological health care needs and will liaise with the community health services if further support is needed. For those residents who are registered on the Care Programme Approach, care staff contribute to regular six monthly or annual CPA reviews. The residents are mostly independent and self-caring and staff provide support, encouragement, and prompting where necessary. Staff are familiar with signs of ‘relapse’ and are able to call on support from the community mental health and social services if any of the residents becomes unwell. Medication is carefully monitored and there is information for all of the staff on all medication taken and any possible side effects. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 14 Staff maintain a daily record book and any important information is handed over at each shift change. Residents like to know who is on duty each day and the staff rota is displayed in the entrance hall. The deputy manager explained that discussing residents’ wishes and choices in the event of illness or death was not as difficult as first thought and on occasions has provided a good opportunity to get to know residents really well and residents have not minded discussing this at all. Wansbeck Limited, The DS0000066186.V276484.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 Although the inspector did not speak to all of the residents, residents said that staff do listen to them and are always approachable. EVIDENCE: There have been no complaints about the home. Residents spoken to were aware that the home is regularly inspected and would speak to someone if they were not happy about anything. The inspector spent some time talking to a new resident who said they were very happy and very satisfied with everything. The deputy manager explained that a neighbour complained about loud music being played in the home but this has been addressed and all parties are now happy. Wansbeck Limited, The DS0000066186.V276484.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 (all of these standards were assessed at the previous inspection) The home provides a safe, homely and comfortable environment for the residents. EVIDENCE: All of the residents have their own bedroom with a lockable door and rooms have wash-hand basins and there are three shared bathrooms. Since the last inspection, two new bedrooms have been created. The home is warm, clean and tidy and there is a separate dining room with enough tables and chairs for all of the residents. Residents can smoke in the sitting room and the dining room is smoke free. Since the last inspection, work has been done on fitting self-closing mechanisms to some of the doors so that they close automatically in the event of a fire. This work has been inspected and approved by the fire safety officer. The dining tables and chairs are newly purchased and it is planned to also replace the chairs and sofas in the living room at a later date. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 17 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 - 36 The home has a good team of staff with very low staff turnover. The home’s recruitment procedures are thorough and there is a commitment to ongoing staff training and development. EVIDENCE: Most of the staff have worked in the home for a number of years and the residents benefit from a small and consistent staff team. Since the last inspection one person has left (because of travel difficulties) and one person has started and another person is about to start. The deputy manager explained that staff do not start until a POVA (Protection of Vulnerable Adults) check has been satisfactorily received and staff are supervised until the criminal record bureau check is confirmed as satisfactory. The home uses an umbrella body to carry out CRB checks and POVA checks are confirmed by them by telephone. In discussion it was recommended that a written record is kept of POVA and CRB checks. Current guidance on CRB and POVA checks is available on the Commission website and a copy will be sent to the home. All new staff complete an application form and two written references are taken up. The deputy manager has organised the staff training records to provide evidence of staff training and copies of certificates. More than 50 of the staff have achieved NVQ level 2 or 3. The training priorities are fire safety, adult Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 18 protection, and NVQ training with other aspects of health and safety and safe working practice arranged as an ongoing programme for a few staff at a time. The deputy manager and registered manager share the staff supervision that is usually every other month with appraisals and review of individual training needs recorded annually. As a small staff team, the manager, deputy manager and all of the staff work closely as a team and share the daily tasks of cleaning, cooking, and running of the home. Day-to-day issues are dealt with as they arise. Care staff clearly enjoy working in the home and have a positive and caring approach to working with the residents. The manager or deputy manager ensure that they see all staff on both day and night shifts during each week. The deputy manager explained that accessing specific training in mental health is not very easy. In discussion the deputy manager explained that she plans to explore the possibility of a ‘mental health unit’ as part of the NVQ training, and to ask the local mental health resources if they can offer any training. However the home is able to demonstrate that staff are skilled and knowledgeable about most aspects of mental health care and psychiatric medication through experience and liaison with health and social care services. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 19 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 and 40 The home is well managed and staff are clear that “this is the residents’ home”. Resident’s rights and best interests are safeguarded by the organised and efficient management approach of the home. EVIDENCE: Both the manager and deputy manager are experienced and skilled and there are clear lines of delegation and responsibility. The deputy manager is currently enrolled to achieve the NVQ level 4 in care and has a positive and enthusiastic approach to training and professional development. Systems and records are well organised, up to date and securely stored in the office and staff area of the home. Some of the residents have their income paid directly into their own accounts and those residents who receive their personal allowance via the home have individual record books and all transactions are signed and dated. The policy of the home is that staff do not act as appointee or have power of attorney. Small amounts of monies are looked after for some residents and records Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 20 maintained by the manager or deputy manager. Most of the residents manage their own finances and residents spoken to are happy with the system for receiving their personal allowances. Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 21 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 3 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 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 3 X X 3 X X X Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 22 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. Refer to Standard Good Practice Recommendations Wansbeck Limited, The DS0000066186.V276484.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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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