Inspection on 27/07/05 for Wellesley

This inspection was carried out on 27th July 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

Wellesley 23/03/07

Wellesley 30/01/06

Wellesley 01/02/05

Wellesley 14/10/04

Wellesley 03/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Wellesley Landkey Road Barnstaple Devon EX32 9BZ Lead Inspector Susan Taylor Unannounced 27 July 2005 11:15 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 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 Stationary 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. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wellesley Address Landkey Road Barnstaple Devon EX32 9BZ 01271 373755 NONE nigel@wellesley1.fsnet.co.uk Mr Nigel Duncan McCowen Smith Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Nigel Duncan McCowen Smith Care Home 10 Category(ies) of Learning Disability (10) registration, with number of places Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1/2/2005 Brief Description of the Service: Wellesley is a home for 10 adults with learning difficulties, offering plenty of space for individual privacy. The home is suitable for people who like companionship, personal space, social and physical activities and who need help with personal care and life skills. The home is situated in an Edwardian house set in large walled gardens on the main road in Newport. Barnstaple is within easy reach. Access is level and current service users have no need for an internal lift. The home is comfortably furnished and well decorated. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over the lunchtime period on 27th July 2005. The inspector met six residents, and four of their friends from a nearby care home who were visiting them for the morning. All six of the residents gave positive feedback about the opportunities they had in terms of activities, education and work, and the home in general. The registered person – Nigel McGowan Smith – was on holiday. However, arrangements had been made to ensure that the home was well managed and that staff had support during the holiday period. Three staff were on duty during the inspection. The people living at Wellesley told the inspector that they preferred to be referred to as ‘residents’. This term is used throughout the report. What the service does well: What has improved since the last inspection? What they could do better: The home is generally well maintained, however there are some areas of the home that look tired and are in need of refurbishment and decoration. The wc on the first floor has worn flooring and a broken toilet seat. In this state, there is a risk of cross infection to residents and both need to be replaced. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 6 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. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 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 standard(s) None EVIDENCE: Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 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 standard(s) None EVIDENCE: Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16 & 17 The wide range of activities provided at Wellesley enables the residents to lead varied and fulfilling lives. Residents are encouraged to maintain their relationships with friends and family. Healthy and varied meals are provided and enjoyed by residents at Wellesley. EVIDENCE: A group of residents with their friends from a nearby care home were having an arts and craft session when the inspector arrived at the home. All of the participants told the inspector that they were enjoying themselves. Other recent craftwork done by residents was seen displayed around the home. Individual activity programmes were seen. Activities listed that residents were involved in were: skittles at the local pub, computer sessions, handwriting courses, ‘Speaking up’ course about advocacy, Gateway club, cookery course, swimming and horse riding. Two residents arrived home, having been out shopping with one of the carers. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 11 Opportunities for residents to maintain and develop social, educational and occupational skills were evident at Wellesley. One resident was out at work at a local Oxfam shop, and three other residents were at college doing a horticultural course. Residents told the inspector that they had all been invited to a wedding, and were making preparations to go to it later in the week. Staff verified that a camping holiday had been planned with residents for the end of August. Residents told the inspector that they were looking forward to their holiday, and another one at the Calvert Trust booked for November this year. The atmosphere in the home was open and inclusive. The inspector observed that residents were enabled to participate fully in the running of the home, for example answering the telephone and preparing meals. The inspector joined the group for lunch, which consisted of a choice of sandwiches, fruit, crisps and cake. Residents said that they always discussed what they would like for their meals. The inspector observed this to be the case when there was a discussion about the options for the Friday night takeaway. Photographs around the home demonstrated that family and friends are involved in important occasions such as birthdays and Christmas when parties are held. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 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 standard(s) 20 Residents are safeguarded by the policies and procedures for the administration, storage and recording of medicines. EVIDENCE: The home had a written procedure covering all aspects of the management of medicines within the home. Medicines were stored safely and securely. Medications administered to residents were recorded on Mars sheets had been kept for each individual service user. Since the last inspection, the recording of once only type medication had improved. Staff had used the ‘carer’s notes’ section on the back of mars sheets to record the reasons for giving the medicines. Staff spoken to told the inspector that they had attended a ‘Safe administration of medicines’ course. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 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 standard(s) None EVIDENCE: Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29,30 Generally, Wellesley provides clean, well maintained and homely accommodation for it’s residents. However, worn lino and a broken toilet seat in the first floor wc increase the risk of cross infection to residents and need to be replaced as a priority. EVIDENCE: Residents who have lived at the home since it opened in 1986 currently share three bedrooms. The home was well equipped, clean and maintained to a high standard. Planned alterations to the second floor to increase the number of single bedrooms had not progressed since last inspected. Records showed that maintenance was done regularly. A new ensuite had been fitted to a high standard. Whilst touring the building, the inspector saw that generally the home is well maintained. However, some areas such as the first floor wc are looking tired. The lino was worn, and the toilet seat was broken. In this state, both increase the risk of cross infection to residents. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 15 Residents showed the inspector their rooms, all of which reflected their individual tastes, hobbies and interests. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 Residents’ needs were well met by an effective staff team. EVIDENCE: Staff told the inspector that the owner manager Nigel McGowan Smith was on holiday. Suitable support arrangements and emergency procedures were in place enabling staff to manage the home confidently in his absence. Residents told the inspector that there was three staff on duty, and always two sleeping in at night. Duty rosters covering the period 4th to 24th July 2005 also verified this. The inspector observed that there was good teamwork amongst the staff. All of the staff on duty worked together to ensure that every resident’s needs were well met. Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 4 4 4 4 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wellesley Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 19 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. 1. 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. 1. Refer to Standard 24 Good Practice Recommendations Prioristise replacement of toilet seat and flooring in first floor wc . Wellesley D54-D07 S22097 Wellesley V233042 270705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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. 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