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Inspection on 03/11/05 for Walby Hill, 4

Also see our care home review for Walby Hill, 4 for more information

This inspection was carried out on 3rd November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service has a warm welcoming home like atmosphere. People who are new to the service have settled in well in a short time. Their needs have been assessed well with a good emphasis on health care. The service provides a good level of support with health care appointments. Involvement for service users in the local community is emphasised, particularly for older service users. Over the years the service has adapted to the changing needs of service users. The individual likes, dislikes and interests of service users are respected. Opportunities are provided for service users to enjoy one to one support. Service users are encouraged to be as involved as possible in the day-to-day running of the home.

What has improved since the last inspection?

Staff recruitment procedures are clearer, as staff references are now kept on file.

What the care home could do better:

The service has undergone major change since the last inspection. This has made for delay in some of the responses to previous requirements and recommendations. The new registered provider should ensure that staff training needs are addressed. Three new service users have come to live at the home. Two of these people are under 65 years of age. The service needs to identify whether this presents any new challenges for the future. So far the younger group of people, who all lived together previously, have continued to attend a day service out of thearea, so have not formed quite the same links with the community as the older service users. Their wishes about this should be explored and stated in the aims and objectives of the service.

CARE HOMES FOR OLDER PEOPLE 4 Walby Hill 4 Walby Hill Rothbury Morpeth Northumberland NE65 7NT Lead Inspector Carole McKay Unannounced Inspection 3rd November 2005 1:30 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.V274480.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 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.V274480.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 4 Walby Hill Address 4 Walby Hill Rothbury Morpeth Northumberland NE65 7NT 01669 620737 01669 620737 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.V274480.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1 November 2004 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.V274480.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced. Two staff were on duty in the home and one member of staff was shopping in Rothbury with two of the service users, when the Inspector arrived. During the inspection a service user and a member of staff returned from attending a hospital appointment. The Inspector met with all of the staff on duty and all of the service users. Service users showed the Inspector around the building. The Inspector looked at records to do with the care needs of three service users and the recruitment records for one member of staff most recently recruited. Staff training records were also examined and the medication records were seen. The main focus of the inspection was to follow up on requirements and recommendations arising from the last inspection. What the service does well: What has improved since the last inspection? What they could do better: The service has undergone major change since the last inspection. This has made for delay in some of the responses to previous requirements and recommendations. The new registered provider should ensure that staff training needs are addressed. Three new service users have come to live at the home. Two of these people are under 65 years of age. The service needs to identify whether this presents any new challenges for the future. So far the younger group of people, who all lived together previously, have continued to attend a day service out of the 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 6 area, so have not formed quite the same links with the community as the older service users. Their wishes about this should be explored and stated in the aims and objectives of the service. 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.V274480.R01.S.doc Version 5.0 Page 7 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.V274480.R01.S.doc Version 5.0 Page 8 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): 1,3, Information is available to prospective service users about the home. Service users needs are assessed prior to moving into the Home. EVIDENCE: Information was available in the home from the new owner, Oaklea Trust. This covered the structure of the organisation, its values, aims and objectives and policies and procedures. The aims and objectives of the service have not been reviewed since younger adults were admitted and this task needs to be carried out now. The case files included initial assessments, admission assessments and assessments carried out by other professionals and specialists. Together these give a good all round pictures of service users’ needs. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 9 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): 7,8,9 The service plans the care it will provide to service users. Health care is emphasised by the service. The staff fully support service users in managing medication. None of the people living at the home are self-medicating. Protection of staff and service users to do with medication must be given a higher priority. EVIDENCE: Care plans are in place in the files examined. These contained records of regular health checks for service users and regular and varied social activity. The Manager can readily describe the health needs of service users and how these are being met. The Inspector witnessed positive support being provided to a service user who was attending a hospital appointment. All medication coming into the home is recorded. All medication given to service users is recorded on pre printed administration records, which the home receives from the pharmacist. Handwritten entries in medical records are not signed by two staff. Some of the staff have not had recent external training in handling medications. The files examined contained useful information for staff to do with type of medications being used and health needs of individual service users. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 10 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): 12,13, 14 The service provides social activity to suit the age and expectations of service users. Service users keep contact with people who are important to them. Service users make decisions about how they spend their time. EVIDENCE: The younger service users have a structured day which includes day activities away from the home. Older service users spend more of their time at home and in the local community. The Inspector saw older service users happily involved in the running of the home, such as shopping, baking and washing clothes. Older service users told the inspector that they have hobbies such as knitting and reading. Service users told the Inspector that they make and receive visits from family members. One service user attends church regularly. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 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): 0 None of these standards were assessed at this inspection. EVIDENCE: 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 12 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): 19,20,21,24,25 Service users live in a safe, well-maintained environment. It is comfortably furnished and spacious in communal areas. Adaptations have been made as necessary for the needs of service users. Privacy is respected and safe independence is encouraged. EVIDENCE: The home is in the heart of the village of Rothbury and close to amenities. There are two floors and no shaft lift, so the first floor is unsuitable for any person with a disability. However the house has had a shower room with toilet installed on the ground floor in order that a person who cannot manage the stairs can be fully accommodated, using ground floor bedroom. The first floor has a bathroom and a separate toilet. The Manager told the Inspector that most of the service users prefer to use the bath rather than the shower. The bathroom is not laid out well for assisted bathing. The Manager told the Inspector that none of the service users need assistance with bathing. On the advice of an occupational therapist handrails have been placed around the home, including at the bath and shower. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 13 Since the last inspection electronic door holding devices have been fitted to some of the doors to allow service users to safely move around the home. Living and dining rooms are located on the ground floor, with an additional sitting room that doubles as an office and sleep in room for staff. The home has a shared television, music system and computer. Service users showed the Inspector their own items of furniture and other possessions in their own bedrooms. Each room is individually styled and furnished and service users told the Inspector that they could have a key to their room if they wish. One service user routinely locks her room. Individual thermostatic controls have not been fitted to radiators as recommended following the last inspection of the home. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 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): 29 The home protects service users by the recruitment policy and practice. EVIDENCE: The inspector examined the file of the person most recently employed. This contains proof of identity, two employer references and a criminal record bureau check. A full application form has been completed and an interview record has been kept. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 15 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): 31, 33, 36 The home is managed well by a long serving Manager in the best interests of the service users. EVIDENCE: The Manager is qualified to level 4 NVQ in management and care and has been awarded the Registered Managers’ Certificate. The Manager was out with service users doing the weekly shop for groceries at the start of this inspection and joined the Inspector later in the afternoon. The Manager has a detailed knowledge of the needs and wishes of service users. The Manager anticipates that the new provider Oaklea Trust will involve her in the development of the service. The staff file included records of regular supervision. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 16 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 2 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 X X 3 2 X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X X 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 17 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 OP1 Regulation 4 Requirement The Registered Persons must review the aims and objectives of the service to take account of younger adults now being accommodated at the service. The Registered Persons must ensure that • Staff receive training in handling medication • Two staff sign handwritten entries in medicine administration records Timescale for action 31/01/06 2 OP9 13 (2) 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP25 Good Practice Recommendations Provide individual thermostatic controls to each radiator. 4 Walby Hill DS0000065896.V274480.R01.S.doc Version 5.0 Page 18 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.V274480.R01.S.doc Version 5.0 Page 19 - 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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