Inspection on 18/01/06 for Welby Community Unit

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Welby Community Unit 06/03/07

Welby Community Unit 30/06/05

Welby Community Unit 10/01/05

Welby Community Unit 25/08/04

Welby Community Unit 28/02/04

Welby Community Unit 04/12/03

Welby Community Unit 18/03/03

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

CARE HOME ADULTS 18-65 Welby Community Unit 203 Outland Road Peverell Plymouth Devon PL2 3PF Lead Inspector Kim Fowler Unannounced Inspection 10:00 18 January 2006 th Welby Community Unit DS0000031273.V279503.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 Welby Community Unit DS0000031273.V279503.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. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Welby Community Unit Address 203 Outland Road Peverell Plymouth Devon PL2 3PF 01752 794544 01752 768226 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) Plymouth City Council Heather Ann Rogers Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 18-65 years Service Users with learning disabilities who may also have physical disabilities 30/06/05 Date of last inspection Brief Description of the Service: Welby Community Unit is a care home providing personal care and accommodation for 12 persons with a learning disability, aged 18 – 65, who may also have a physical disability.It is owned by Plymouth City Council and provides a respite service for approximately 50 – 60 service users.The home is located in the residential area of Peverell, close to shops, pubs and other amenities.The home was opened in 1987 and consists of a detached two-storey property. The home only has level access and facilities for service users with profound mobility difficulties on the ground floor. The home has seven single bedrooms and two shared rooms on the 1st floor, none of which have en-suite facilities. There are bathing and toilet facilities close to bedrooms and communal areas. There are lounge and dining rooms, as well as a room that is used as a sitting room and activities area. There are facilities in the latter room for service users to prepare their own drinks and snacks. There is a call alarm system in some of the bathrooms, toilets and hallways. The garden is spacious and accessible to the service users. Welby Community Unit DS0000031273.V279503.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 2 1/4 hours and was an Unannounced inspection. A partial tour of the premises took place and 1 service user, and 6 staff were spoken with during this inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 6 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 Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 7 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): 4 Information provided to the prospective service user assist them to make an informed choice of a respite care. EVIDENCE: This is a respite unit and one service user spoken with during this inspection confirmed that they had stayed for respite care and now was staying in the unit until a suitable placement was found. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 8 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): 6/7/8 Service users are encouraged as much as possible to make decisions about their care. EVIDENCE: The service user spoken with during this inspection was attending a meeting with the Speech and Language Therapist during the inspection. On discussion with this service user it was clear they were aware of the arrangement and happy to participate. This service user also stated that they are involved in planning there care and meet with the staff to discussion current arrangements. Also they were able to choose with bedroom they were able to stay in. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 9 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): 13/15 This respite home enables service users to participate in the local community and will be supported by staff when needed. EVIDENCE: The service user spoken with said that they visit the local shops and have also been out with their key worker to the local club to dance. This service user also stated that they have family, friends and a boyfriend and some of these visit the home. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 10 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): 19 Welby provides good personal support for the service users during their stay. EVIDENCE: The service user spoken with informed the inspector that they had moved into the home until a suitable placement was found and at times had been upset due to change in personal circumstances and the staff had supported them during this time. This service user had also said that they had been unwell and their key worker had supported them with a visit from a Doctor. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 11 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): 23 Service users can be confident that their complaints or concerns will be listened to and dealt with. EVIDENCE: The service user spoken with stated that they have 2 staff members in particular whom they are able to go to when they have any concerns. This service user stated that these staff members would listen to their concerns and help them. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 12 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): 24/25 The Welby unit continues to maintain a clean and suitable environment for its stated purpose. EVIDENCE: The carpet in the main lounge is split and it is recommended that they receive attention due to health and safety concerns. The home is having major restructure work on the rear of the building. This entails the conversion of an office space to a self-contained flat and staff sleep in room. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 13 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): 32/33/34/35/36 Ongoing staff training is encouraged enabling service users to receive the best possible service. EVIDENCE: 6 staff members were interviewed during this inspection and it was evident during these conversations that the staff has the skills and competences to carry out their jobs. Many of these staff either have an NVQ or working towards this. All staff agreed that the home has sufficient care staff on duty and as the home caters for respite service users extra staff are on duty during busy times. The home has a cook vacancy at present and the one cook employed is preparing meals for staff when they are not on duty. Some staff had concerns about this as it removed a care staff to the kitchen to prepare the meal. A recommendation is in place for the management to ensure sufficient staff are on duty when the cook is absent to enable staff to be free to prepare the evening meal. All staff confirmed they attend regular staff meetings and parts of these meeting are designated to discussing any service user issues. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 14 Most of the staff spoken to had been at the home for sometime but one staff informed the inspector that they had an interview based on equal opportunities and that one staff had 2 contracts with Plymouth City Council and had full discussion with management on how this would work. All staff had completed an extensive training programme including NVQ, Fire Safety, Manual Handling and First Aid at work. All staff also confirmed that they receive regular supervision by senior staff. Welby Community Unit DS0000031273.V279503.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): 37/41 The management of this home ensures that the staff had regular and updated training to meet the service users needs. EVIDENCE: The previous Registered Manager has now left the home and a new manager started in post 2 weeks ago. This Manager is yet to make application to the Commission for Registration. The inspector was informed that one staff member had their contract terminated during their probation period and this was due to work issues including medication errors. All errors in medication are required to be reported to the Commission under Regulation 37 notices. Welby Community Unit DS0000031273.V279503.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 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 3 X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Welby Community Unit Score X 3 X 3 Standard No 37 38 39 40 41 42 43 Score 2 X X X 2 X X DS0000031273.V279503.R01.S.doc Version 5.0 Page 17 N/A 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 31/03/06 31/03/06 1 2 37 41 8 Sch. 3 (j) The new manager must be Registered with the Commission. Any incident in the care home, which is detrimental to the health and welfare of the service user, must be sent to the Commission. 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 2 Refer to Standard 24 33 Good Practice Recommendations The lounge carpet should be repaired. The vacant cooks position should not affect the staff number needed to meet service users needs. Welby Community Unit DS0000031273.V279503.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Welby Community Unit DS0000031273.V279503.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. 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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