Inspection on 12/12/08 for Wavelly House

This inspection was carried out on 12th December 2008.

CSCI found this care home to be providing an Good service.

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

Wavelly House 06/06/06

Wavelly House 08/11/05

Wavelly House 20/12/04

Wavelly House 08/06/04

Wavelly House 20/03/04

Wavelly House 23/06/03

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Wavelly House 7A Wavell Close Basingstoke Hants RG226EQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Peter McNeillie     Date: 1 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Wavelly House 7A Wavell Close Basingstoke Hants RG226EQ 01256333773 Telephone number: Fax number: Email address: Provider web address: wavelyhouse@btconnect.com Name of registered provider(s): Type of registration: Number of places registered: Together Working for Wellbeing care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 6 The registered person may provide the following category of service only: Care home only(PC) to service userrs of the following gender: Either whose primary care needs on admission to the home are within the following category: Mental disorder(MD) Date of last inspection Brief description of the care home Wavelley House is care home managed by Together Working for Wellbeing and is registered to provide care and support for up to six persons people with mental health issues. Accomodation is provided in a large property set in a quiet residential road in the North Hampshire town of Basingstoke the centre of which which is a short bus ride to centre. There are six single bedrooms as well a a lounge diner and well maintained garden to which the residents have access. 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This report was written after taking into consideration a number of sources of information and evidence including a site visit to the premises, examining residents and staff records, personal observations, talks with staff and management,results from an in house quality survey and responses by the manager to an annual quality assurance assessment (AQAA) The inspection took place on 12/12/ 2008 between the hours of 09.00am and 12.45pm. During the inspection the inspector who was assisted by the Registered Manager had the opportunity to discuss living and working in the home with a number of staff and residents. Care Homes for Adults (18-65 years) Page 5 of 27 The results and findings contained in this report which looked at all of the key standards for care homes for younger adults and any previous requirements will determine the frequency and type of future inspections. At the time of our visit charges were eight hundred and fifty three pounds per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a well-developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met. Evidence: There has only been one been admissions since the last inspection. We were informed that all admissions are carried out in accordance with an admissions policy that requires that no resident is admitted without a full assessment of needs and attendant risks being carried out by the manager or a member of the homes management team. An assessment usually takes place following a referral from The Community Mental Health Care Team or a hospital and would only occur with the prospective residents full consent which is confirmed by their signature on the referral documentation. As part of the assessment procedure the the prospective resident prior to a place being Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: offered would normally visit the home,stay overnight and meet the other residents who would also be asked their views on the suitability of any admission. During this time visits a detailed assessment of residents needs and risks would be carried out overseen by the manager or a member of senior staff. Four of the residents files were viewed all included, an initial assessments covering a number of topics including housing related support, personal care support, daily living skills, managing money, looking after their physical and mental health as well as areas of risk. External health and social care professionals also contributed to the assessments process and would be involved in any pre and post placement reviews which are undertaken on a regular basis. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a clear and consistent care planning system in place, which ensures residents needs are met within a risk management policy that involves residents in decisions that affect them . Evidence: After talking with the manager staff and residents we formed the view that staff saw themselves more as supporters and enablers not carers and were there to assist residents in achieving their personal goals, aspirations and independence within a risk taking framework. A view with which the residents, staff and manager agreed. We viewed four residents care plans chosen at random. All contained details on how assessed needs were to be met , how any risks were to be managed and confirmation that residents were consulted when the plan was formulated. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: All of the residents spoken with who confirmed they were aware of and had contributed to thie care plan are capable of looking after themselves with regard to day to day personal care. It was clear to us that residents were masters of thir own destiny and were totally responsible for the sucess of the placement and whether the care plan was viable or relevant. Residents right, and the opportunity to take risks is seen as fundamental. Residents were supported to make decisions for themselves within a risk assessment framework with the help of staff if required. Should any risk assessment indicate any type of restriction be called for this would not be implemented without the full consent of the resident. If following a risk assessment any type of restriction was indicated, this would not be implemented without the full consent of the resident. To ensure equality and diversity are promoted within the home, in their AQAA the home told us. Each service user has an individual plan of care tailored to their needs. Full assessmnet carried out when service user comes to the project. Covers areas ranging from physical/mental health to cultural/spirtiual needs. information reassessed 3 monthly. Needs are identified and staff are trained in equal ops leading to each service user being treated with respect, dignity and as an individual. Care plans are monitored monthly and reviewed every 3 months. information on any services or facilities required are included in project statement of purpose. We have one service user of Asian origin and 2 service users over 65, any areas of need are researched and care support given individually tailored to need. We try to avoid any cross gender personal care support, if this does happen due to circumstance, risk assessments and care plans support this and is agreed with service users. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The social activities family, contacts and the provision of varied and nutritious meals were well managed and reflected residents interests and choices. Evidence: Any decision taken that affects individuals always seeks to empower the individual by taking into consideration the individuals choices, wishes, aspirations and independence. These were reflected in the manner in which the home is run and day to day life conducted. This is in line with the staffs perception of themselves as enablers first and carers second. Regular residents meetings where any matters that affect living in or the running of the home are discussed. These could include an individuals conduct to other residents, food, staff and staff attitudes, group activities, and arrangements for special times of Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: the year such as Christmas.No subject is taboo as long as all of the residents agree. There is an expectation in the home that residents take responsibility for keeping the home clean and tidy on a rota basis and to prepare their own meals with assistance if required. Residents are responsible for choosing daily menus. The homes management in recognizing the individuality of residents has enabled each resident to choose daily menu and cook (with assistance if required) which reflects their preferences and choices for which they they carry their own shopping. Residents are responsible for choosing and arranging their own social activities with help, support and encouragement from staff. Residents confirmed they were not forced to participate in any activity unless they wished to do so. The range of activities currently being undertaken which are all mainly community based include, dining out, trips out, pubs, theatre, bowling, swimming, cinema etc. Visitors can also be entertained in the house by individual residents as long as it does not interfere with the others living in the home this would include overnight stays. All residents who are registered to vote retain a key to the home and their own room. Residents spoken with were full of praise for the staff. They told us they liked living in the home, were treated with respect and could do what they chose, and were encouraged to maintain and improve their independence. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. Evidence: Residents spoken with said that staff treat them well and provide any one to one support which is detailed in individual care plans in the way that they want it. Should assistance be required staff and management and residents informed us this would be delivered in private Residents informed us were able to see the doctor of their choice or any other health and social care professional when they needed to. Currently five doctors from three local practices visit enabling residents to choose doctors of the same gender as themselves if they wish. The records viewed indicated that apart from doctors, district nurses and the local community mental health team other specialists would be consulted as required. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Records were kept of appointments with GPs, dentist, optician, chiropodist and any other external health and social care professional and included details of any advice and treatment given. Following the last inspection a requirement was made that The registered person must ensure that individual guidelines are developed for service users who take as required medication All drugs are which securely stored are administered disposed of and recorded in accordance with an in house and corporate medication policy and procedure by trained staff which includes guidelines relating to As required medication. Records of administration and disposal of unwanted drugs and medicines viewed were complete and accurate. In the light of evidence viewed we are satisfied the previous requirement has been complied with. In line with the policy and procedure mentioned above, two residents are selfmedicating as a result of detailed risk assessments. We witnessed one resident administering and recording their own medication. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has clear policies and procedures in place which ensures residents are able to complain and are protected from abuse. Evidence: The complaints procedure, which is also included in the service users guide included information on how to contact The Commission for Social Care Inspection (CSCI), was seen, as was the record of complaints. No complaints have been received by CSCI since the last inspection. All members of staff spoken with of stated they felt confident in discussing any concerns, complaints with management either in house or external on behalf of any resident and were confident any issues raised would be dealt with promptly and fairly. The homes corporate adult protection policy is works in tandem with the procedure produced by Hampshire County Council, which is based on National Guidelines and the document No Secrets and is designed to safeguard residents from abuse. Management and staff who were spoken with confirmed they had all received training in recognizing various types of abuse. Records viewed confirmed this. All were able to demonstrate they knew the procedure to follow should they witness or suspect the abuse of any resident. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A safe, well maintained, clean and suitably furnished home is provided for residents which meets their needs. Evidence: The complaints procedure, which is also included in the service users guide included information on how to contact The Commission for Social Care Inspection (CSCI), was seen, as was the record of complaints. No complaints have been received by CSCI since the last inspection. All members of staff spoken with of stated they felt confident in discussing any concerns, complaints with management either in house or external on behalf of any resident and were confident any issues raised would be dealt with promptly and fairly. The homes corporate adult protection policy is works in tandem with the procedure produced by Hampshire County Council, which is based on National Guidelines and the document No Secrets and is designed to safeguard residents from abuse. Management and staff who were spoken with confirmed they had all received training in recognizing various types of abuse. Records viewed confirmed this. All were able to Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: demonstrate they knew the procedure to follow should they witness or suspect the abuse of any resident. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all residents. Evidence: In our view, with which the residents agreed, was that at the time of the inspection staff numbers and the deployment of staff was sufficient to meet the residents needs. The manager informed us the planned staffing level for the home is two staff at all times at all times during the day and evening and one staff sleeping in at night plus telephone back up for emergencies. She also informed us staffing could be raised if residents needs increased or a particular days programme required additional staff. As part of this inspection, we viewed three staff recruitment and training files selected at random. All files viewed included evidence that staff are employed in accordance with a robust equal opportunities recruitment, and selection procedure, which is designed to protect Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: residents. We were also informed that wherever possible a resident would be included in any intervier panels as part of the pre employment procedure. This involves the completion of an application form, the signing of a rehabilitation of offenders declaration, an interview, and satisfactory Criminal Record Bureau (CRB) disclosure, Protection of Vulnerable Adults (POVA) and reference checks. Following their appointment, records seen confirmed that all staff are subject to an in house induction and foundation training programme based on a Skills For Care model that include first aid, handling medication, food handling, moving and handling, safeguarding, mental health legislation drug and alchol awareness and infection control. Following completion of their induction programme All staff are expected to undertake a National Vocational Qualification N .V. Q.) Course. Information provided by the Manager indicated that 60 of has been trained to at least NVQ level 3 (which is well in excess of the expectations of the standards.). The remaining staff are due to start their training as soon a course becomes available. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents whose views about living in the home are formally sought. Evidence: From the evidence seen we were satisfied that the service is well managed by the Registered Manager who has been registered since the last inspection, holds a National Vocational Qualification (NVQ) Registered Managers Award at level four and is an NVQ assessor. Comments made by residents confirmed they can speak to the manager and all care staff at any time and they are always willing to listen and give them time. This view that was also echoed by the staff who described the manager as available and approachable. Staff also that confirmed that there is a clearly defined management structure and that the operate an open door policy, and encourages them to share any concerns or ideas they have for the betterment of the service. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: It was also evident from our observations that the manager has enthused the highly motivated staff team who were all fully aware of there responsibilities, worked within clear lines of accountability and guidelines and recognized and promoted the ability of the individual residents not the disability. As part of the homes quality monitoring system, residents residents representatives health and social care professionals and staff are invited to participate in satisfaction The views expressed in the surveys are seen as key in highlighting areas that may require improvement or attention and the future development of this service. Records viewed confirmed a health and safety policy was in place as were records of weekly health and safety checks, the servicing of equipment, staff training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. Residents are generally responsible for their own finances. We checked the records of one individual who had agreed that the homes management look after their money. The records seen including receipts agreed with the cash balance held. We were informed that the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade and all hot pipes and where appropriate radiators were covered or risk assessments were in place to protect residents from burning. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 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!