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Inspection on 23/11/05 for WCS - Newlands

Also see our care home review for WCS - Newlands for more information

This inspection was carried out on 23rd 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.

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 staff at the home are pro-active in supporting residents to develop the confidence and skills to live in their own homes. The residents` care plans are now person centred. There is good practice on the development of person centred planning and residents are actively involved in developing their plans. Residents` opportunities to access to community activities have greatly increased with the more person centred approach at the home.

What has improved since the last inspection?

Only medication is now stored in medication cupboards and the recording is now satisfactory. Arrangements are now in place to ensure the security of the building after 9pm each evening. The wedging of fire doors has now ceased. Potentially hazardous items such as cleaning fluids are now stored safely. Soiled waste is now quickly and safely disposed of.

What the care home could do better:

The manager should seek clarification from the head office regarding the status of Criminal Record Bureau checks for staff.

CARE HOME ADULTS 18-65 WCS - Newlands Whites Row Kenilworth Warwickshire CV8 1HW Lead Inspector Jo Johnson Unannounced Inspection 23rd November 2005 10:00 WCS - Newlands DS0000004267.V267099.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 WCS - Newlands DS0000004267.V267099.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. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service WCS - Newlands Address Whites Row Kenilworth Warwickshire CV8 1HW 01926 859600 01926 864240 admin@wcsnewlands.f9.co.uk 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) Warwickshire Care Services Limited Ms Wendy Bridge Care Home 26 Category(ies) of Learning disability (4), Physical disability (18), registration, with number Physical disability over 65 years of age (4) of places WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Admissions No further service users with both a physical disability and/or learning disability must be admitted. The registration category of physical disability and learning disability (4) relates to the four named service users only. 14th June 2005 Date of last inspection Brief Description of the Service: The home provides care for 26 adults with a physical disability, aged between 16 and 65 years. The home offers short term and respite care. Newlands was built in 1976 for people with a disability. However over the years there has been a significant change in the nature of disability of residents, from that originally conceived. As a result Newlands has been partially redesigned and re-furbished. The residential and nursing home occupies a single storey building with some unusual roof elevations. An attached two-storey section is used for the head office accommodation of the parent company. There are also attached facilities used by the WRVS meals service. There is a large car parking area at the front of the home. The premises are separated into three living units each having a corridor with bedrooms off, a kitchenette, and adjacent dining and lounge area. There is also a large communal dining room, entrance hall with a waiting/meeting area, two enclosed courtyards/gardens and large grassed and planted areas surrounding the building. All areas are wheelchair accessible and there are automatic doors and ramps for access. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by two inspectors and focused on the investigation of an anonymous complaint, progress on previous shortfalls and the areas not assessed at the previous inspection. The inspectors looked at service users’ care and other records; spoke with the manager and with four service users at the home. The elements of the complaint that were investigated relating to staffing, personal care and nursing practices in the home were not upheld. There was no evidence to support other elements of the complaint and they cannot be substantiated and therefore are unresolved. What the service does well: What has improved since the last inspection? Only medication is now stored in medication cupboards and the recording is now satisfactory. Arrangements are now in place to ensure the security of the building after 9pm each evening. The wedging of fire doors has now ceased. Potentially hazardous items such as cleaning fluids are now stored safely. Soiled waste is now quickly and safely disposed of. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 6 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. WCS - Newlands DS0000004267.V267099.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 WCS - Newlands DS0000004267.V267099.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): 2 Prior to admission a suitably qualified person assesses prospective service user’s individual needs and aspirations. Up to date community care assessments ensure that the staff at the home are now able to meet the changing needs of the service users who come in to the home for respite. EVIDENCE: The assessments process was assessed at the previous inspection. A requirement was made that up to date community care assessments are needed for service users who come to stay at the home for short breaks or respite. This has now been met. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 Service users’ health, personal and nursing care needs are planned for and met. Adequately trained and competent staff meet service users’ care needs. Risk is assessed, monitored and included in service users’ care plans. Risk assessments cover all areas of need, including personal care, moving and handling and daily living activities. Positive risk taking is encouraged in the developing culture of promoting service user’s independence. EVIDENCE: Elements of the anonymous complaint relating to six service users’ personal and nursing care were investigated. The six service users’ care plans and relevant records were comprehensive and detailed the care required and provided. The district nurses complete specialist nursing procedures where the registered nurses at the home have not been trained in these specific techniques. The complaint relating to the personal and nursing care practices at the home are not upheld. WCS - Newlands DS0000004267.V267099.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): 15,16 Service users are supported where appropriate to develop and maintain personal, family and sexual relationships. Service users rights, independence and responsibilities are promoted and recognised. EVIDENCE: Through discussion with the manager, service users are supported to maintain relationships with families and personal and sexual relationships. Specialist support and advice is being sought for service users with regard to developing personal and intimate relationships. Service users are able choose who they see and can have visitors in their rooms. Late night visiting is now discouraged due to the vulnerability of some of the service users living at the home. Restrictions are in place with regard to one service user and in this particular circumstance the restrictions are appropriate. This situation is under review with the individual and the professionals involved. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 11 The new care plans now have good quality descriptions of how service users choose to live their lives. These include daily routines that service users have been involved in writing. Staff observed interacted positively with service users. One service user said ‘staff are kind…they took me on holiday’ Service users were observed spending time with others or choosing to spend time alone in their rooms. Some service users were out at college and others had gone to the cinema. The amount of community activity and focus on promoting service users’ daily living skills has greatly increased during the last year. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The home has appropriate systems in place for the safe management and storage of medication. EVIDENCE: Following a requirement at the last inspection, service user’s medication cabinets are now only used to store medication. Records of receipt and administration of medication were correct. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The concerns, complaints and views of the service users are listened to and acted upon. The complaints procedure is accessible to service users, their families and their representatives. EVIDENCE: Following a requirement at the last inspection the front door is now locked at 9pm and visitors are asked not to visit after 9pm.This gives service users more privacy and protection. All service users now have access to their personal allowances. Advocacy Alliance is now supporting some service users with their finances. There are complaint books on each of the living unit and complaints forms are readily available in the reception area. A record of complaints is kept and was seen. This is part of the new quality assurance system. All of the complaints seen had been responded to within timescales and investigated satisfactorily. Any themes from concerns or complaints raised now feed into the quality assurance system and any shortfalls are addressed. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed at this inspection. EVIDENCE: WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not specifically assessed at this inspection. EVIDENCE: As part of the complaint investigation, rotas for a specific period were reviewed. There was no evidence support that there had been any occasions where there was not a qualified nurse on duty. This element of the complaint is not upheld. Following a requirement at the last inspection staff are now having regular individual supervision. This is monitored as part of the quality assurance process. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 The quality assurance system at the home ensures that service users views underpin the review and development of the home. The fire safety and environmental health policies and procedures are now adhered to and the health, safety and welfare of the service users is now ensured. EVIDENCE: There is a new comprehensive quality assurance system in place that is reviewed on a monthly basis. Service users and staff review their care plans on a monthly basis. The chief executive now visits unannounced on a monthly basis and this is recorded in the quality assurance system. An annual plan is produced from the consultation exercises and regular review of all aspects of the home. There were no fire doors wedged open during the inspection, clinical waste and COSHH items were stored as required. WCS - Newlands DS0000004267.V267099.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 3 x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WCS - Newlands Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x DS0000004267.V267099.R01.S.doc Version 5.0 Page 18 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 WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 19 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2. Refer to Standard YA34 Good Practice Recommendations It is recommended that the correspondence notes to the manager from Head Office record that a clear (or otherwise) Criminal Record Bureau check has been received. WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Newlands DS0000004267.V267099.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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