Inspection on 19/01/06 for Walby Hill, 4

This inspection was carried out on 19th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Walby Hill, 4 14/06/07

Walby Hill, 4 15/05/06

Walby Hill, 4 03/11/05

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOMES FOR OLDER PEOPLE 4 Walby Hill 4 Walby Hill Rothbury Morpeth Northumberland NE65 7NT Lead Inspector Carole McKay Unannounced Inspection 19th January 2006 09:30 X10015.doc Version 1.40 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 4 Walby Hill DS0000065896.V287620.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 Older People. 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. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 4 Walby Hill Address 4 Walby Hill Rothbury Morpeth Northumberland NE65 7NT 01669 620737 01670 518118 walbyhill@msn.com 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 Oaklea Trust Mrs L Arkle Care Home 6 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (4) of places 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: 4 Walby Hill is a care home providing personal care and accommodation to six people. All of these people have a learning disability. Previously the home was registered to accommodate people over 65. Since the last inspection the home has admitted two younger adults and the categories of registration have been altered to reflect this. In total three new service users have been admitted since the last inspection For the purposes of this inspection the home has been assessed against the standards for home for older people, however at future inspections the standards for services for younger adults may be applied. The home has also changed ownership since the last inspection and is now operated by the Oaklea Trust, a national organisation specialising in care for people who have a learning disability. The home is located on the fringe of the village in close proximity to shops and other amenities. It occupies a domestic property in a two-storey terrace. There is an open and lawned area to the front of the home and a driveway access shared with neighbours. The back of the property has a small yard and shared driveway access. The home is domestic in style and warm and comfortable in character. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two members of staff were on duty. The inspector had discussions with both of these persons. Four of the service users were at home. The inspector spoke to each person and took lunch with the staff and service users. The inspector toured the communal areas of the home and examined the home’s records. What the service does well: 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. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 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 The home does not provide intermediate care. Standard 6 was not examined. Standard 3 was assessed at the last inspection. EVIDENCE: 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9,10 The service respects service users’ rights to privacy and dignity. The service assists service users with medication in a safe way. EVIDENCE: At the last inspection a requirement was made to do with medication procedures and staff training in handling medication. The timescale for meeting the requirement has passed. The Oaklea Trust has arranged for training in medication to be provided to staff at the home on 22nd March 2006. Joining instructions and a course outline was included in staff training files. The statement of purpose states that all employees are trained to respect the privacy and dignity of the service users. Service users said that they could hold keys to their bedroom doors and one of the service users took control of inviting people to enter her room. The records showed that risk assessments are carried out around the safety of service users holding door keys. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Standards 12,13 and 14 were examined at the last inspection with satisfactory outcomes. The service provides a balanced diet taking into account service users’ health needs and preferences. Service users contribute to planning and preparing meals. Mealtimes and menus are planned around the routines of the service users. EVIDENCE: None of the service users require a special diet, and the main meal of the day is the individual choice of one of the service users. Those service users who do not like the choice are offered an alternative. This way the menu, which is planned ahead, reflects the needs and wishes of the group. The menus are varied and the staff said that fresh ingredients are used, bought locally wherever possible. A member of staff prepared the lunchtime meal with the help of one of the service users. The meal was served at the dining table and all the service users in the home took the meal together as a social occasion. Service users contributed to the preparation of the table and the tidying away of crockery. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 10 One of the service users said that she particularly enjoys making meals and working in the kitchen. Menus allow for a second main meal to be served for those service users who are not in through the day. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The service promotes an open culture where concerns will be brought to the attention of the service providers. The service strives to protect service users from abuse. EVIDENCE: The Oaklea Trust’s documents to do with complaints and suggestions are available in the home. There is a clear policy and clear procedure for concerns and complaints to be brought to the attention of the service. All agents and contacts involved in investigating complaints are included in the information available to service users. A complaints record is kept at the home. No complaints have been recorded against the service. The Commission has received no complaints against the service. The home has Adult Protection procedures. These include what staff are expected to do should they suspect a vulnerable adult is being abused. To supplement this information, the home has a copy of the Department of Health guidance, No Secrets, and a copy of the local authority Protection of Vulnerable Adults procedures. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 12 Staff files show that all staff have received POVA training within the last two years. POVA checks are taken up for new staff. The service users said that they were happy and settled at the service and had no complaints. Service users said that they would inform the staff if they were not happy. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23,25 and 26 Standards 10,20,21,24,25 were examined at the last inspection with good outcomes for service users. The service provides a comfortable, clean, pleasant home for the people living there. EVIDENCE: At the last inspection one recommendation was made that thermostatic controls should be fitted to individual radiators. This is outstanding and has been restated at the end of this report. The home does not employ domestic staff. The care staff follow written cleaning schedules to good effect. The home is clean and hygienic throughout. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 and 30 There are enough staff hours and flexibility in the rota to be sure that service users have staff support at times of the day when this is most important. Staff are supported through a programme of supervision, appraisal and training. EVIDENCE: One member of staff was on duty for the most part of the inspection. The sleep in member of staff left at 10.00 am. Some of the service users are retired and are at home through the day. The rota is planned one month ahead. Standard day and sleep over shifts are worked and other hours are allocated according to the needs of the service users. Staff recruitment files were not available for inspection. These are kept locked away. The Manager has access to these, but was not on duty. Staff supervision, appraisal and training information is available. Written training plans are in place for every member of staff to receive up dated mandatory training. Staff files contain certificates for induction training, mandatory training and specialist training. The specialist training is linked to the needs of the service users. For example; training in communication and listening skills and working with people whose behaviour challenges services. The manager, Linda Arkle, has attended training related to her management role. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 15 All staff have a training and development file. These include records of supervision meetings. The meetings are structured and cover; helath and well being, client and support worker plans, activities, aims and objectives, reviews, training, holidays, health and safety, policies. The outcome of supervision is described and an action plan is agreed. Supervision takes place at least two monthly. Staff files contain records of annual performance appraisal. Appraisal includes a record of outcomes and goals for the coming year. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35,37 and 38 The home has secure systems for the safekeeping of service users’ finance and for assisting them with this. The policies and procedures to do with the keeping of records ensure that the interests of staff and service users are safeguarded. Some records, which should be inspected, are not available at all times. Safety of service users is ensured through contract arrangements for safety and maintenance of the premises. Safety monitoring is in the process of being re scheduled. EVIDENCE: Service users are assisted to control their own monies. Records of finances are up to date. Where staff assist service users, items of expenditure are recorded and receipts are kept. Bank accounts are held and statements are retained and 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 17 checked on behalf of service users. All transactions are signed and counter signed. Any monies held for safekeeping are checked daily. Oaklea Trust has issued very clear policies and procedures for the keeping of records. These match what is expected under The Data Protection Act, but do not provide for inspectors to access all the records when the manager is not available. This was discussed after the inspection. An arrangement for giving access to records at all times has been agreed. The home has health and safety log books and files. These contain a record of maintenance contracts and all safety checks for the premises. Most safety checks are up to date, apart from the weekly examination of fire extinguishers (last entry 06/01/06). The manager said that this had been rescheduled to monthly checks in line with the policy of the Oaklea Trust. The manager said that this was in line with the risk assessment for fire. Staff files contain training certificates. These include training in Health and Safety, Fire Safety Awareness, Load Management and Client Handling, Food Hygiene, First Aid 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X 2 X 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X 2 3 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP37 Regulatio n 17(3)(b) Requirement The registered manager to ensure that records required by regulation are available for inspection at all times. Timescale for action 30/04/06 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 20 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 OP25 Good Practice Recommendations Provide individual thermostatic controls to each radiator. 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 4 Walby Hill DS0000065896.V287620.R01.S.doc Version 5.1 Page 22 - 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. 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