Inspection on 19/03/06 for Wagtail Close

This inspection was carried out on 19th March 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wagtail Close 14/03/07

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 Pamela Cunningham Announced Inspection 19th March 2006 10:00 Wagtail Close DS0000037554.V280235.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 Wagtail Close DS0000037554.V280235.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. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 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.V280235.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th November 2005 Brief Description of the Service: Wagtail Close is a respite care unit situated 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 officially opened in September 2002. The respite unit contains 3 self -contained flats comprising of a lounge and kitchen area, one bedroom, and en-suite facility with level access shower. All the flats are wheelchair accessible. All three flats have overhead tracking in the bedroom and bathroom. Two of the flats have a kitchen that has been fitted with height adjustable worktops and specialist adaptations to promote independence. The respite unit provides 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/ bistro, shop, hairdressers, and communal lounges. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on 9th November 2005. This was an announced inspection carried out by one inspector who was at the home from 10.0 until 15.30. The main purpose of this inspection was to make sure that the home provides a good standard of care for the service users and to assess progress on meeting any requirements or recommendations made at the last visit. Both requirements made during the last inspection have had appropriate action taken. The methods used at this inspection included looking at care records; observing working practices and talking to staff, service users, relatives and to the manager. In addition to time spent undertaking the inspection, time was spent in preparation. What the service does well: What has improved since the last inspection? Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 6 The manager has been successful in obtaining the RMA (registered managers award), and NVQ level 4. Staffing has been increased by one carer on night duty. There has been an increase in volunteer services, and the management have identified the role they are to play. The focus group is almost up and running. A self medication policy has been developed. 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. Wagtail Close DS0000037554.V280235.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 Wagtail Close DS0000037554.V280235.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 Prospective residents are provided with information to enable them to make an informed choice about the home prior to moving in. The admission process is good and includes introductory visits. EVIDENCE: All residents have a pre admission assessment undertaken prior to being admitted into the home by the manager. A full care management assessment is also obtained prior to admission. Wagtail Close DS0000037554.V280235.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): 7, 8, 9 and 10 The health care needs of residents are met and care plans provide clear and detailed instructions for staff to follow. Residents are treated with respect and their privacy is upheld. Staff are aware of the residents’ needs and there is good communication amongst the staff group. Residents are consulted with and participate in all aspects of their life in the home. EVIDENCE: Residents said they receive adequate support, including support given by the staff in-between spells of respite care One resident said he has asked to be helped to prepare his own meals, and said the staff are willing to take him shopping to help him to choose the food he prefers to eat. Residents are supported to take risks as part of the risk management process, and one particular resident shops at a large local supermarket Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 10 Residents spoken to during the inspection said they were confident information about them is handled appropriately, and that their confidences would be kept. The manager said confidentiality is discussed with the residents prior to admission, and a copy of the code of confidentiality is in the service user guide in the communal lounge. Wagtail Close DS0000037554.V280235.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 and 17 Residents are encouraged to join in social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. They are offered a good varied and nutritious diet that takes account of individual dietary and care needs. EVIDENCE: In the conversations with residents they talked about their holidays and trips they had been on. Residents also talked about contact with their families, which was clearly important to them. It was clear also that the friendships that they had developed in the home were also important. Residents are also asked about their preferences, and are introduced to what is taking place on the main scheme. There is a coffee morning held every Thursday, and also regular pizza nights. The manager said she send invitations to all regular respite users. Regular coffer mornings are also held which include the local community. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 12 The care plans showed evidence of good dietary intake, with regular weight checks. There are a variety of special dietary needs that are catered for. Wagtail Close DS0000037554.V280235.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 20 Residents receive personal support in a way that is discussed and agreed with them. Care plans provide clear instruction for staff to follow. Medication systems and practices are sound. EVIDENCE: Residents said they are asked by the staff what help they need, but that staff are always on hand to provide that little extra help if needed. Although there are no residents who have expressed a wish to handle their own medication, the home has developed a self medication policy as was required at the last inspection. Medication is brought in to the home in dossette boxes prepared by the pharmacist, or in the residents own labelled box. Medication is checked to make sure it is correct, and any medication the home is unsure of is checked with the residents GP. The systems and records were checked and found to meet requirements. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 14 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 and 23 Residents feel comfortable in raising concerns on a day-to-day basis and have access to a formal complaints procedure that is clear. Elder Abuse training has been provided. EVIDENCE: Residents spoken with said that they were aware of the complaints procedure and felt comfortable in raising concerns with staff. Staff spoken to demonstrated awareness of the procedure to take should abuse be suspected. The home has an adequate complaint procedure that contains the timescales for the completion of the process. There has been no complaints since the last inspection. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 15 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 and 30 Residents live in a homely environment, however there were certain concerns raised during the visit, about fire safety. Bedrooms promote independence and specialist equipment is provided in all en suite facilities. EVIDENCE: Accommodation is comprised of three self contained flats, all with work surfaces at wheelchair friendly heights. All ensuite facilities are provided with ceiling track and hoist facility. There is a communal lounge area and a respite kitchen. During the tour of the premises the following were noted: • The rehab kitchen does not have either fly screens fitted to the windows or an insectocutor. • There was some plaster damage to the wall near the kitchenette in room 19. It was noted there is no smoke detection fitted in the linen cupboard adjacent to room 17 or in the large store cupboard where cleaning materials and other combustible materials are stored. Nor was there any fire protection in the meter cupboard near bedroom 19. The registered provider should contact the West Yorkshire Fire and Rescue Service, Directorate of Fire Safety and Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 16 Technical Services regarding fire safety in this area in respect of fire safety precautions, and undertake appropriate consultation with the authority responsible for environmental health for the area in which the care home is located. Three requirements have been made. Overall the building is well kept, clean and nicely decorated. Wagtail Close DS0000037554.V280235.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 and 33 New appointments have been made that should help the staffing situation at night. Recruitment policies and procedures make sure that staff are properly vetted and suitable to work at the home. Residents are well cared for and benefit from an effective staff team. EVIDENCE: Staff are now allocated to work in the home and perform specific tasks. The service is managed around the residents’ individual needs. Staff are very flexible and have worked on more than one occasion longer than the end of their shift when certain residents have wanted to stay out late. Staff spoken to said that the multidisciplinary team working and communication was very good.. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 18 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, 42 and 43 The manager, who is experienced, encourages an open atmosphere where residents and staff feel comfortable in raising things that might please or worry them. There were minor concerns raised about health and safety and fire safety during the inspection. EVIDENCE: The manager said one resident and a near relative had expressed a wish to be closely involved with the focus group when it is up and running. The home is managed by a registered experienced manager who appears well respected by her staff and who has a good rapport with them. She is very much part of the team, but there are very obvious set boundaries, and well-defined roles. She said that she finds it very exacting, running the respite centre in addition to her other managerial responsibilities in running the domiciliary care agency. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 19 I was told that questionnaires are sent to all residents following spells of respite care, and that regulation 26 visits highlight where improvements can be made. Policies and procedures are upheld and revised when necessary. All safety checks are in place and all mandatory training provided. The home is owned and managed by Bradford Metropolitan District Council, there is no reason to question the financial viability of the service. Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 20 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 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 x 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 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 x 3 x 3 x 3 x x 3 3 Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2 Standard YA42 YA42 Regulation 23(2(b) 23(4)(a) Requirement The registered provider must make good the damage to the wall in bedroom 17. The registered provider shall after consultation with the fire authority, supply and fit adequate smoke detection in areas highlighted within the main body of the report. The registered person shall after appropriate consultation with environmental health, fit fly screens to the window in the respite kitchen, and provide and insectocutor. Timescale for action 03/07/06 03/07/06 3 YA42 23(5) 03/07/06 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.V280235.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Wagtail Close DS0000037554.V280235.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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