Inspection on 08/11/05 for Wavelly House

This inspection was carried out on 8th 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 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 12/12/08

Wavelly House 06/06/06

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 08/07/2008.

CARE HOME ADULTS 18-65 7a Wavell Road Basingstoke Hampshire RG22 6EQ Lead Inspector Debbie Oliver Unannounced Inspection 8th November 2005 10:00 7a Wavell Road DS0000012307.V264369.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 7a Wavell Road DS0000012307.V264369.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. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 7a Wavell Road Address Basingstoke Hampshire RG22 6EQ 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) 01256 333 773 www.together-uk.org Together Working for Wellbeing Miss Jessica Neighbour Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users in the MD category must be over 45 years of age. Four named service users may be accommodated in the MD(E) category 9th May 2005 Date of last inspection Brief Description of the Service: 7a Wavell Road provides care and support for people with mental health issues. Together Working for Wellbeing is the registered provider and the registered manager is Ms Jessica Neighbour. Help is given with personal care and daily living needs when required as well as supporting people to maintain their independence. It is a large home set in a quiet road in Basingstoke, which is a bus ride to the town centre. There are six single bedrooms as well as a smoking area and a lounge/diner.There is also a well maintained garden for service users. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two and a half hours and during the visit the deputy and the staff on duty assisted the inspector. An opportunity was taken to look around parts of the home, view some records and talk to staff and services users. The inspector spoke with two staff members and four service users. There were no other visitors in the home on the day of the inspection. There were some standards that were not assessed during this inspection. These standards were viewed at the last inspection and found to be satisfactory and for more information on these standards the last inspection report should be viewed. 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 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 6 contacting your local CSCI office. 7a Wavell Road DS0000012307.V264369.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 7a Wavell Road DS0000012307.V264369.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): None of these standards were assessed on this occasion. EVIDENCE: 7a Wavell Road DS0000012307.V264369.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): 7 Service users are supported to make decisions about their lives. EVIDENCE: The service users spoken to confirmed they are able to make day to day decisions as well as decisions relating to the home. One service user said they could come down in the middle of the night and make a cup of tea if they so wish. Another service user said they go out and about as they please and staff encourage them to do things but don’t make them. A staff member spoken to said service users are encouraged to make their own decisions and some do this more independently than others. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 10 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): 12 and 13 Service users have opportunities to engage in suitable activities both in the home and the local community appropriate to their age, peer and culture. EVIDENCE: It was evident throughout the visit that service users are encouraged to go out and make use of the local facilities. Service users spoken to said they make use of the local pub, the town centre and local clubs that are available to them. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Service user’s health and personal needs are being met to ensure they are supported in the way they prefer and service users are protected by the correct policies and appropriate training in relation to medication. EVIDENCE: Since the last inspection the two service user’s plans sampled contained specific information as to how service users are supported when bathing including the additional support they now require. Staff spoken to found the changes to be useful and feel these will be constantly updated. The medication policy was viewed and is clear and easy to use. The home also has a copy of The Royal Pharmaceutical Society Guidelines. All staff have received training although it was discussed with the deputy for new staff a more extensive training package may be more useful than the in house training. Staff spoken to felt confident about administering medication and confirmed they had received training. One service user is self medicating and the appropriate risk assessment is in place. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Arrangements for protecting service users and responding to concerns are satisfactory. EVIDENCE: The complaints procedure was seen and this covered all the relevant information, it is located on the wall in the hall. Service users said they would tell staff about any concerns and know it would be dealt with. One service user said ‘It doesn’t matter who is on shift you can talk to anyone if you have a concern’. The home has all the relevant documentation relating to adult protection including a whistle blowing procedure, the adult protection policy and the ‘no secrets’ guidance. Since the last inspection all staff have received training in abuse and staff spoken to said it has given them more confidence. In relation to one service user’s benefits they have won their appeal and have now had their benefits adjusted accordingly with backdated money. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 A comfortable and safe standard of accommodation is provided for the service users, which meet their needs, with a home that is clean and hygienic. EVIDENCE: The deputy confirmed that the issues relating to one service user’s bedroom including their light in their bedroom where the wiring was exposed, the light switch that was loose and the lock on their drawer that was broken has all be actioned. The service user was out on the day of the visit so could not be spoken to but this will be discussed with them on the next visit. On the day of the visit the home was clean and tidy. The laundry facilities were seen and they were satisfactory with gloves and aprons available. The home also has the relevant policy in place in relation to cross infection. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 14 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): 34 The home ensures that staff have the relevant checks with the relevant recruitment practices in place to ensure service users are protected. EVIDENCE: The inspector viewed three staff files and they contained all the relevant recruitment checks including application forms, health checks and criminal records bureau checks. Staff spoken to said they were aware of the relevant checks needed and confirmed the home had a policy on recruitment. Service users spoken to like the staff that support them and feel they have the skills to do the job and trust them. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 15 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): 39 and 41 Service users views are sought to ensure they are involved in the selfmonitoring, reviewing and development of the home and the policies and procedures available safeguard service uses’ rights and best interest. EVIDENCE: Service users views are sought annually through questionnaires and someone from another home supports them to do this. This information is then used as part of the annual review of the home. The service users spoken to said they make choices about the running of the home on a daily basis such as decoration of the home, what to eat and what activities to undertake. The home also has Regulation 26 visits undertaken on a monthly basis and a copy is sent to the Commission. Service users are involved in this process and this is detailed in the report. All service users spoken to confirmed they have regular service user meetings and they are very useful. A staff member spoken to confirmed they receive a questionnaire annually as well as a chance to discuss any issues at the annual review. 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 16 The deputy manager stated that all policies are currently being updated to reflect the new name. The policy relating to referrals and admissions will be amended as part of this process to include how existing service users are consulted when potential service users may wish to move in to the home. 7a Wavell Road DS0000012307.V264369.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 X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 7a Wavell Road Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X 2 X X DS0000012307.V264369.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 7a Wavell Road DS0000012307.V264369.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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