Inspection on 09/11/05 for Wagtail Close

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 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 19/03/06

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 Unannounced Inspection 1.00pm 9 November 2005 th Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 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.V252934.R01.S.doc Version 5.0 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.V252934.R01.S.doc Version 5.0 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.V252934.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19/01/05 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.V252934.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over three hours by one inspector on 9th November 2005. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents. Comment cards were sent to the home on the day after the inspection to give residents and relatives the opportunity to comment anonymously. It is expected these will be completed and returned. The inspection consisted of reviewing care documentation and staff files, and speaking to the manager and deputy manager. There were no clients or care staff in the home on the day of the visit. Therefore the inspector was not able to speak to clients to assess their views on the care clients receive, or talk to staff about their understanding of care that should be provided, or ask them about training they are currently receiving. Because of the detailed information package provided to prospective residents, they are able to make an informed choice whether or not to come to live at the home. Pre admission assessments ensure resident’s needs are assessed and documented, this assures their needs can be met once admitted. All clients have their care needs re-assessed at each spell of respite care. Care plan documentation is of a good standard providing staff with a tool by which they can ensure the residents needs, and any special needs are met. What the service does well: They liaise with the resource centre for physical disabilities, some of which use the service. They are also working closely with Whetley Hill Day Centre, discussing rehabilitation and intermediate care. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 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.V252934.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Prospective service users visit the home prior to deciding if they wish to receive respite care at Wagtail Close. Future clients and their carers can be sure that the home will meet their needs and aspirations. Social and healthcare professionals have helped the residents choose this home. EVIDENCE: The home provides regular planned respite care and therefore there are never any vacancies, however when this occurs, the home usually has some indication that there is a prospective client who might want to be admitted. The home obtains pre-admission assessment for all residents, in the form of the Easy Care document. However information contained within the document does not always give an accurate picture of the care needs of the service user in question. In order to obtain a fuller picture, the manager also undertakes an assessment of needs on the trial visit to the home. The introductory period is tailored to meet the individual needs and the number and length of visits are very flexible. Information is provided for people to make an informed choice about the home prior to them being admitted. Each resident has an individual contract that explains the terms and conditions of the service. This also includes the fees that are payable by the resident. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Good communication makes sure that the residents’ needs are met. Appropriate risk assessments with coping strategies are in place to support an independent lifestyle. EVIDENCE: All service users have a care plan that gives information about their needs. Service users are involved in drawing up the plans, and sign, if they are able, to say that they agree with them. If they cannot sign, discussions take place with the member of staff writing the care plan, and the service user, to ensure the service user agrees with the plan of care, which the member of staff then signs on their behalf. The plans are reviewed and updated on a regular basis. Very comprehensive risk assessments with the relevant coping strategies are in place. Instructions were seen in the care plans about what the home needs to do to meet the service users needs. All service users are have their care needs re-assessed at each new spell of respite care. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 10 Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 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): No standards assessed at this visit. EVIDENCE: Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 12 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): 19, 20 and 21. One service user currently manages their own medication. If deaths occur in the home they are handled with dignity. Service users health care needs are met. EVIDENCE: One service user currently manages their own medications, however the service user in question has not had a risk assessment undertaken in order to ensure they are capable of performing this task. There is also no self-medication policy in place in the home. There have been a number of deaths in the past, however these have not been notified the Commission under Regulation 37, as is required. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 13 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): 23 The home has an Adult Protection policy in place. There are good recruitment procedures in place that protect the service user. EVIDENCE: There have been no complaints made since registration either directly to the home or via the Commission. There is a complaints procedure in place, however, this is kept in a staff file, and not displayed where all people entering the home can easily see it. It does however contain all the required information. Staff files inspected during the visit identified that the home has a robust recruitment procedure that protects the service user. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 14 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): No standard assessed during this inspection. No judgements made. EVIDENCE: No evidence gained. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 15 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): 32, 34, 35 and 36 Staff are provided with mandatory training and other training relevant to the needs of the service user. Supervision is adequately addressed. Recruitment procedures are robust and protect the service user. EVIDENCE: The inspector was told that formal supervision is being addressed both formally, and on a daily basis. There was written evidence to support this in the staff file reviewed Recruitment documentation selected for inspection identified that all relevant documentation was present. There was also evidence in the staff files that appropriate training has been provided Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 16 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): 38, 40, and 41. The home is managed by a registered manager. The homes policies, which are corporate policies, are reviewed on a regular basis, to take into account any changes in legislation. All records are kept securely when not in use. EVIDENCE: The manager has completed the work for the registered manager’s award. All records were properly maintained and safely store, and there was evidence that Policies and procedures are updated as required, some very recently. There was also evidence of staff supervision sessions, and written records are in place Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 17 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 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wagtail Close Score X 3 2 2 Standard No 37 38 39 40 41 42 43 Score x 3 X 3 3 x x DS0000037554.V252934.R01.S.doc Version 5.0 Page 18 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 YA20 Regulation 13 Requirement That the home develops a selfmedication policy, and undertakes risk assessments on all service users who are capable of administering their own medication. That all deaths occurring to service user who use the service are notified to the Commission as soon as possible following the death. Timescale for action 31/01/06 2 YA21 12 & 37 31/12/05 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 22 Good Practice Recommendations That the complaint procedure be displayed in a place where all visitors to the home can easily see it. Wagtail Close DS0000037554.V252934.R01.S.doc Version 5.0 Page 19 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.V252934.R01.S.doc Version 5.0 Page 20 - 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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