Inspection on 30/01/06 for Wellesley

This inspection was carried out on 30th January 2006.

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 27/07/05

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 Inspection 14:45 30 January 2006 th Wellesley DS0000022097.V257672.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 Wellesley DS0000022097.V257672.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. Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wellesley Address Landkey Road Barnstaple Devon EX32 9BZ 01271 373755 NONE 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) Mr Nigel Duncan McCowen Smith Mr Nigel Duncan McCowen Smith Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 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 DS0000022097.V257672.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took four and half-hours over one day. The purpose was to focus on key standards covering individual needs, personal and health care, complaints and protection, staffing and management issues. The inspector looked at records, policies and procedures and interviewed staff. Six residents gave their views of the home to the inspector. Two staff and the manager were interviewed. Prior to the inspection, the Commission received a preinspection questionnaire and comment cards from five residents and four relatives and this data is also incorporated into the report. Resident’s comments were: “they treat me ok” and “I like it here”. Four relatives in comment cards wrote “There may be a home somewhere as good, but not any better” and “the care he receives is excellent in all respects” and “such a caring environment” and “All the carers and staff are caring, skilful and friendly, it would be a difficult task to find a more caring home anywhere than Wellesley”. The people living at Wellesley told the inspector at the last inspection that they preferred to be referred to as ‘residents’. Therefore, this term is used throughout the report. What the service does well: Wellesley is a well run home. ‘Total Communication’ is used in the home, to ensure that residents are fully involved in decision making about their lives there. Residents know that the staff understand their needs because they are discussed with them. The team have the confidence to allow residents to take risks so that they enable them to develop as individuals. The staff help them to learn new skills such as managing their own money. Residents have few restrictions in their lives and are encouraged to voice any concerns they might have. The staff are well trained, and all of them have an NVQ in care, which is an excellent achievement. Therefore, residents are cared for by suitably qualified and experienced staff that understand the needs of people with learning disabilities. Appropriate checks are done when new staff join the team, which ensures that residents are protected. Health and safety issues take priority. Everyone, residents and staff alike are made aware of procedures such as what to do in the event of a fire. Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 Page 6 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. Wellesley DS0000022097.V257672.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 Wellesley DS0000022097.V257672.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 The staff at Wellesley understand the needs of residents because these are clearly stated in care files and discussed within the team. EVIDENCE: The home had obtained a copy of the care plan produced for care management purposes for residents. Comprehensive assessment information was seen on two files. Assessments had been regularly reviewed with the individual concerned, they’re representative and where appropriate care manager. Wellesley DS0000022097.V257672.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): 6,7,9 Wellesley has an inclusive philosophy, which encourages residents to fully engage in planning and reviewing their own care. Resident’s money is well managed at Wellesley. Procedures enable residents to make their own decisions about how they choose to spend or save their money. Risks and quality of life issues are carefully managed so as to ensure that residents have few restrictions in the lives. EVIDENCE: Two care plans were inspected and were well maintained. The needs of one resident were tracked through the records kept. A document entitled ‘My life my plan’ had been produced with the individual concerned and was in a ‘total communication format’. Photographs had been used to illustrate what goals the person wanted to work towards. Letters on file demonstrated that the home had excellent links with specialist healthcare professionals who were involved in the individual resident’s care. Regular reviews of long and Short-term goals with the resident concerned were evident in the file. The inspector observed residents sorting out their money before going out for evening. Every person had an individual record that was signed by the Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 Page 10 resident as they received whatever amount of money they wished to have for the evening. Three records were inspected and crosschecked against balances kept for safekeeping. Balances corresponded with written records. The manager told the inspector that all of the residents had their own savings account, into which money was paid on a regular basis. Two were inspected. The balances corresponded with written records. Comprehensive risk assessments had been completed for every resident, which clearly identified strategies for minimising the risks highlighted. These were reflected in each person’s care plan. Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 Page 11 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): None EVIDENCE: Wellesley DS0000022097.V257672.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): 18,19 Wellesley staff make good use of health and social care resources available to them in the community to ensure that residents receive the best care available. Residents are treated with dignity and respect. EVIDENCE: The inspector observed that privacy and dignity is well maintained in the home. Residents told the inspector that they had keys for their bedrooms, and toilets and bathrooms had locks fitted. A resident told the inspector “I go to see the doctor when I need to, he’s just next door”. Care records verified that the home had excellent links with specialist healthcare professionals such as consultant in learning disabilities, chiropodist, GP’s, opticians and dentists. Wellesley DS0000022097.V257672.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): 22,23 Residents are able to voice concerns about their care safe in the knowledge that their views will be respected. Policies, procedures and training to keep residents safe and protect them from abuse are evident at this home. EVIDENCE: The complaints procedure was clearly displayed in the hallway next to the kitchen. Residents told the inspector that if they had a concern they “would talk it over with ..[The manager] and it would be sorted out”. The manager verified that no complaints had been received in the last 12 months. Four relatives in comment cards verified that they had been made aware of the complaints procedure. The home had a written policy and procedure for dealing with suspected allegations of abuse. Protection of Vulnerable Adult’s training had been provided for staff at a meeting in December 2005, minutes of which were seen. Resident’s comments included: “they treat me ok” and “I like it here”. Five residents responded in comment cards and verified that they all felt well cared for and that the staff treated them with respect. Four relatives in comment cards wrote “There may be a home somewhere as good, but not any better” and “the care he receives is excellent in all respects” and “such a caring environment” and “All the carers and staff are caring, skilful and friendly, it would be a difficult task to find a more caring home anywhere than Wellesley”. Wellesley DS0000022097.V257672.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): None EVIDENCE: Wellesley DS0000022097.V257672.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): 34,35,36 Resident’s needs are well met by a stable team of staff. Wellesley has done well to exceed the minimum requirements in terms of staff holding an NVQ in care. The home has robust recruitment procedures. All of these measures ensure that residents are cared for by suitably qualified and experienced staff. EVIDENCE: Two staff files were inspected. Both contained all of the documentation required under schedule 2. Residents told the inspector that they had taken part in interviews for a new carer. The registered manager for the home has close links with the local college and has previously been a tutor there. Training records showed that all of the staff had attained NVQ awards in care. In line with the home’s quality assurance process, a training plan had been developed and was inspected. The plan demonstrated that individual development is encouraged at Wellesley. During 2005, certificates verified that staff had attended courses covering the safe handling of medicines, food hygiene, and the protection of vulnerable adults, epilepsy awareness and dementia and downs syndrome. Staff who were interviewed told the inspector that they received regular one to one supervision with the manager. Records also verified this. Wellesley DS0000022097.V257672.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): 37, 39,42 Wellesley continues to be a well run home for residents. The quality assurance systems in the home ensure that residents participate fully in the process and that their views are respected. The health, safety and welfare of residents are promoted and protected by Wellesley’s policies and procedures EVIDENCE: The manager of the home had completed the Registered Manager’s Award and NVQ level 4 in Care & Management. Certificates were seen verifying this. Minutes of house meetings verified that these take place regularly, and are attended by staff and residents. The inspector saw the results of a survey that had been done to seek the views of residents about the services provided. The manager told the inspector that another quality assurance survey would be done later this year. Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 Page 17 Comprehensive induction records were seen for two staff. The electrical system had been inspected, and was deemed safe until 2007. Engineer’s reports showed that regular maintenance was carried out to other equipment in the home such as the gas and electrical appliances. Manual handling training had been provided for staff in 2005. Fire training had been provided for all staff by an external trainer in December 2005. Records verified that fire precautionary equipment had been regularly checked and were in full working order. Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 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 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 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 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wellesley Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DS0000022097.V257672.R01.S.doc Version 5.0 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. 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 Wellesley DS0000022097.V257672.R01.S.doc Version 5.0 Page 20 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. 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