Inspection on 14/03/07 for Wagtail Close

This inspection was carried out on 14th March 2007.

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

Wagtail Close 19/03/06

Wagtail Close 09/11/05

Wagtail Close 19/01/05

Wagtail Close 27/09/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 Wagtail Close 15 Wagtail Close Bradford BD6 3YJ Lead Inspector Karen Westhead Key Unannounced Inspection 14th March 2007 10.15a Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 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 Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 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. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wagtail Close Address 15 Wagtail Close Bradford BD6 3YJ 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) 01274 883902 01274 817624 sheila.suddards@bradford.gov.uk City of Bradford Metropolitan District Council Department of Social Services Mrs Sheila Suddards Care Home 3 Category(ies) of Physical disability (3) registration, with number of places Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th March 2006 Brief Description of the Service: Wagtail Close is a respite care unit which provides short stay accommodation for people who would otherwise live in their own home with support. It is in the Westwood Park area of Bradford. The home is a joint project between Hanover Housing and Bradford Social Services, and is registered to provide personal care for up to 3 adults with physical disabilities. The respite unit opened in September 2002. The respite unit has 3 self-contained flats. They each have a lounge, kitchen area, one bedroom, and en-suite facility with a level access shower. All the flats are wheelchair accessible. The flats have overhead tracking in the bedroom and bathroom. This means service users can be moved around between the two rooms in a hoist if they need to be. Two of the flats have a kitchen, which has been fitted with height adjustable worktops and specialist adaptations to promote independence. The respite unit also has a communal lounge and enclosed gardens. Wagtail Close is part of a housing scheme for people with physical disabilities. Respite users can access many of the main facilities. This includes a restaurant with bistro, shop, hairdressers, and communal lounges. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was done by one inspector and had not been prearranged with the Manager. The inspector arrived at 10.15am and left at 3.30pm. At the end of the visit, the manager was told how well the home was being run and what needed to be done to make sure the home meets the standards. A pre-inspection questionnaire was sent out to the home in December 2006. It was returned completed, a month later. The reason for the visit was to make sure the home was being run for the benefit and well being of the service users and in line with requirements. Before the inspection information received about the home was reviewed. This included looking at the completed pre-inspection questionnaire, the number of reported incidents and accidents, the action plan provided following the previous inspection and reports from other agencies such as the fire safety officer’s report. This information was used to plan the inspection visit. A number of records were looked at during the visit and all areas of the home were seen. At the time of the visit, there were no service users staying at the unit. So the inspector spoke to a service user, who used to use the respite unit, and is now a permanent service user on site. The service user spoke in positive terms about the respite unit and said it was due to the help of staff during his stays that meant he could move into a more independent flat permanently. Therefore, comment cards and post-paid envelopes were left for service users to complete at a later date. Any comments received will be reviewed and if necessary acted on. On 29th January 2007 the fees were £8.91 per night per service user. Additional charges are made for hairdressing, activities, transport and the upgrading of a lunchtime snack in the bistro. These charges are not fixed. What the service does well: Wagtail Close is run in a way which enables service users to retain and develop their skills and learn new things which will make it possible to move to a more independent setting if that is what they wish. The unit also gives carers and families the chance to take a break if they wish knowing the service user will be taken care of and supported. Staff and management have a good working knowledge of each service user and talked about their likes, dislikes, levels of support they each needed and the way they were able to develop service users abilities. Staff were very positive and felt the team worked well together. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 6 The management team provides good leadership and direction. Staff said they are happy to talk to the management team if they are unhappy or have any concerns. Recording systems are good. Staff make sure they write clear accounts of the care service users need and what care has been given. 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 summary of this inspection report can be made available in other formats on request. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 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 Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are fully assessed before they are offered respite care in the unit. EVIDENCE: Pre-admission records were looked at. These identified the type of support each service user requires. There were details, in some files, of discussions with the service user, other professionals, the carer and family members where appropriate. This shows that all these people are able to contribute to the writing of the care plan. Therefore it is accurate and matches the service users needs. A senior member of staff is involved in the assessment of any prospective service user. All referrals are made by a social worker, who provides the initial report when requesting a respite bed. The admission process allows for an introductory visit and if the service user is happy to proceed, and the staff can provide the support required, they are invited to stay for a minimum of two nights. Depending on the outcome of this, service users are then given dates of availability. The unit prefers to give blocks of time, ranging from one to two weeks, so that service users and carers can plan their diaries. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 9 At the point of admission, each service user is given a contract that sets out the terms and conditions, the fees, and the room allocated. A sample of these were seen on service users files. The manager tries to make sure service users are able to use the same flat each time they stay. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care needs that relate to behaviour and risk have been carefully assessed and recorded in full. Service users are involved in the decisions affecting their lives with staff support. EVIDENCE: Nine service user files were looked at in detail. Information was good and provided staff with clear guidance on how specific care needs should be met. Each service user had a comprehensive assessment that covered areas of risk linked to their condition, illness or behaviour. A list of likes and dislikes, wishes and goals had also been completed. Each care plan had been reviewed monthly, and there was a summary of events. This is a good system and provides an overall picture of what has happened over recent months. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 11 Where possible, service users had been involved in the care planning process. Staff said they were involved in the care planning process and that these were used as a working document and referred to during the service users stay. Assessments and plans explained what help is required with personal care, social activities and daily living. Service users are involved in helping around the unit and preparing and cooking meals. The level of their involvement around the home is recorded in their care plans and what developmental work is needed to help service users become more independent. Some service users can leave the unit unaccompanied and others require staff to escort them around the site or wider community. Any limitations that are imposed have been formally assessed and care plans to manage risk have been completed. Quality monitoring is in place. The manager sends service users and if appropriate their carers a questionnaire to seek their views about the unit. Recent responses showed that the level of satisfaction was high. One comment was looked into by the manager and did not require any further action. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have a good lifestyle in the unit which is fulfilling, purposeful and meaningful and meets their expectations. EVIDENCE: Staff keep a daily record about each service users. This shows what the service user has been doing and what progress has been made. Staff said service users get a lot of opportunities to go to the local and wider community, and use resources on site. There is a communal lounge, hairdressers, shop and restaurant in the main building. This is accessible to those using the respite unit and people who rent the flats on site. Daily records confirmed this. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 13 Management and staff monitor the quality of the activites available and use their imagination to enhance the type of recreation provided. It was also clear that if service users wanted to spend time alone and not be involved in activities this was also respected. The kitchen equipment in two of the flats are at a lower level and can be easily used by those using a wheelchair or have to sit down. Service users are encouraged to be involved in daily tasks and this varies on their levels of independence and wishes for the future. The service users have a choice about the way they want their food providing. They can cook their own meals if they wish. This may be with full assistance or minimal support from staff. Or they can take all their meals in the restaurant. The programme of their respite care is set out according to their abilities and their future plans and will be reflective of what they do at home. For example some service users do not wish to move onto a more independent setting and the reason they come to the unit may be to give their carer a rest. Others may be wishing to develop their daily living skills and this is a way to do it. They may live in a house which has no suitable adaptations and therefore they are more restricted at home. The restaurant has printed menus and provides a wide range of food. On the day of the visit, the restaurant was closed due to new flooring being laid. Therefore the food could be not be sampled. Staff and service users spoken with, who eat in the restarant said the food was very good. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to make sure healthcare needs are met. EVIDENCE: There are good systems in place to make sure service users continue to be able to access health care, as if they are at home. District nurses continue to provide care as needed and are informed in advance if a service user is coming to stay at the unit. The unit has links with the local doctors surgery who will attend to service users who do not live in the area. Staff respond to the needs of service users and if they require treatment whilst at the unit professionals are called in. Some service users bring specialist equipment with them, including wheelchairs. There is ample storage space for these and all rooms are fitted with profiling beds and other specialist equipment which enables service users to retain their independence. Staff and management consult with healthcare specialists for advice and guidance. For example, about the treatment for pressure sores, correct use of Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 15 aids and adaptations or medication reviews. Relevant details were recorded and added to care plans if appropriate. Storage of medication is good. There is a main store cupboard in the staff sleeping in room and service users have a lockable cupboard in their flat if they are able to look after their own medication. Staff complete a record of the medication brought in. Staff who are responsible for administering medication have completed medication training. A self-administration risk assessment is completed for each service user who wishes to do this for themselves. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The level of staff understanding gives assurance that complaints will be taken seriously and service users will be protected from abuse. EVIDENCE: The manager keeps records of all complaints. There had been one complaint over the last twelve months. This had been dealt with internally by the manager. Only one incident had been referred to the adult protection unit. This is because there are no serious incidents, rather than there being a lack of understanding when incidents should be reported. The complaints procedure was displayed for visitors and residents to see. Staff spoken to said they had received training on adult protection. Copies of the adult protection procedures are kept in the manager’s office, and available for staff to read. Staff showed a good awareness of what they should do if they thought residents might have been subject to any form of abuse and were able to identify the different types of abuse possible. Financial records were looked at. All financial transactions were recorded and receipts were obtained for any purchases made. The majority of service users look after their own money whilst in the unit. Those needing assistance are Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 17 helped and if possible staff identify this as a skill which may need to be developed, for example budgeting and identification of money and its value. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The unit is clean, tidy and well maintained. EVIDENCE: The inspector walked round the unit, it was clean and tidy. Decoration, furniture and furnishings is of a good standard. The building is owned by a housing association and they employ a person who deals with any general maintenance. Management and staff carry out checks and any problems are reported. Staff explained the difficulties some service users have when holding fire doors open when passing through. This has meant that some doors are being propped open. The registered person must make sure that fire safety precautions are not compromised and if necessary fit automatic self closures to the doors affected. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 19 The unit has a call system which service users can use to summon help from staff. Staff said the system works well. There were no service users in the home during the visit. However, the system was operated to show how it worked. Each flat is self contained. There is a kitchen, bedroom, loung area and each flat has a washer and dryer. The front door to each flat has a door bell and letter box. This means when service users are in their flat staff are able to post their mail unopened and have to ring the door bell before entering. This means when a service user is in their flat staff have to wait to be invited in. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team work well together and have a clear understanding of everyone’s roles and responsibilities. Only staff who are suitable to work with vulnerable adults are employed. EVIDENCE: Staff and management have a good working knowledge of each service user and talked about their likes, dislikes, levels of support they each needed and the way they were able to develop service users abilities. Staff were very positive and felt the team worked well together. Staff have a handover at the beginning of each shift where information is shared. During the handover, staff are given their tasks for their shift. This will include which service user they are to work with and other specific tasks. Staff meetings are held. The minutes confirmed that they were used as good forums for discussion and passing on of information. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 21 Staff supervision is programmed through the year and staff spoken to said they received this regularly. Staff training records were looked at. Staff have completed mandatory training which includes moving and handling, health and safety, fire safety and ability awareness. Senior staff are working through a National Vocational Qualification at level 4. Staff talked about the recruitment process and said they were made aware of the nature of the job before they started. Two staff files were looked at and these had all the information required. Agency staff are not used in the unit. Staff morale was described as excellent by those staff spoken to. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides clear leadership and direction. Quality assurance systems are in place which seek the views of service users and their carers. EVIDENCE: The registered manager has worked for Bradford Social Services for over twenty years. The respite unit it managed on a day to day basis by a senior member of staff. The management team work well together. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 23 Daily records about the care of service users are completed at the end of each shift. There was sufficient information about what service users had been doing and if any significant events had occurred. There have been few Regulation 37 notifications sent to the Commission. This is because there have been no incidents which needed reporting, rather than staff not knowing what they need to report. The manager has sent quality assurance surveys to service users and carers. The surveys had been returned and information analysed. Overall the level of satisfaction was high. One carer had raised a comment and this had been looked into and resolved by the manager. The pre inspection questionnaire stated that policies and procedures were available and regular maintenance and health and safety checks by external agencies were completed at in the home. Staff on duty said that fire safety equipment was being checked weekly and that fire drills were being done monthly. The records needed updating to reflect this. Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 24 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 3 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 X 26 3 27 3 28 3 29 X 30 3 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 4 4 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wagtail Close DS0000037554.V327348.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!