Inspection on 26/03/06 for Wellesley House Residential Care Home

This inspection was carried out on 26th March 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 House Residential Care... 29/09/06

Wellesley House Residential Care... 13/04/05

Wellesley House Residential Care... 17/09/04

Wellesley House Residential Care... 27/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Wellesley House Residential Care Home 10 Wellington Road Bury Lancs BL9 9BG Lead Inspector Rukhsana Yates Unannounced Inspection 26th March 2006 09:30 Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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 House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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 House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wellesley House Residential Care Home Address 10 Wellington Road Bury Lancs BL9 9BG 0161 761 6932 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) Mrs Linda Bell Mrs Janet Kinsella Mrs Linda Bell Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 4 service-users to include: Up to 4 service-users in the category LD (Learning Disabilities). The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 13th April 2005 Date of last inspection Brief Description of the Service: Wellesley House is home to four people who have learning disabilities and need support to lead independent lives. The house is a large terraced property half a mile from the centre of Bury. There is a park opposite the house, and main bus routes and various amenities are within easy reach. There are two lounges, a kitchen and separate dining room on the ground floor. Upstairs, there are four single bedrooms with en-suite facilities, and a separate bathroom. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours, including preparation time. Methods used during the inspection included discussions with staff members, with much of the time spent talking with the four residents individually and observing practice. Key records were examined. 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. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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 Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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): 2 The people living at Wellesley House had their needs and compatibility with others in the home assessed and agreed with them before admission. They therefore knew what to expect of the service, and felt confident that their needs, goals and aspirations were understood from the outset. EVIDENCE: Records showed that care management assessments were obtained before admission. The manager also assessed prospective residents to ensure suitability and compatibility for all concerned, and that admission criteria were met. There have been no new admissions in recent years. The residents said get on well together most of the time, and described the move to Wellesley house as a very positive choice. Two of the residents, however, said that they wanted to know more about the options for alternative places to live. One felt she wanted to be with people her own age and another said he needed a change. Although it is acknowledged that these residents have been known to change their minds about wanting a move, the service should refer them for reassessment or advocacy so that an independent view can be obtained about their wishes, and acted on if necessary (standard 7). All of the residents said that individual needs and goals are regularly discussed and agreed with them and were able to look at their files if they wanted to. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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 and 9 Plans of care clearly and accurately reflect each person’s changing needs, choices, goals, support requirements and risk assessments. Plans are implemented and progress assessed with the individual. These measures are highly effective in supporting residents to remain safe, and to increase their independence and self-esteem. EVIDENCE: Residents’ personal, social and healthcare needs were documented in individual plans of care, and reviewed with the resident. Care plans, including risk and behaviour management strategies, were up to date and staff understood the strategies and their purpose. Discussions with residents confirmed their awareness of, and involvement in, personal goal setting and review. They described examples of practical staff support and encouragement, resulting in a greater sense of fulfilment and achievement in particular areas of their lives. Examples included new learning, leisure and employment opportunities. Each person’s progress was reflected in daily reports and accessible plans of care. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 Page 9 There was evidence of residents making decisions individually and as a group. Staff supported individual’s choices about the day’s activities, such as shopping for groceries, or using personal monies to buy new clothes. Decision-making affecting the household was reflected in minutes of residents’ meetings. Each resident said that they made their own decisions, with staff support if needed. The potential risks to the safety of residents and others were recorded and regularly reviewed. Risks were assessed for activities inside and outside the home, and outlined the support required for each activity. Risks were managed so as not to limit preferred activities. Residents gave examples of enjoying activities, such as swimming and cycling, accompanied by a staff member. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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 and 17 Residents are encouraged to maintain personal and family relationships. Residents participate in meal planning, are encouraged to eat healthily and enjoy their meals. EVIDENCE: There is sufficient space in the home to enable residents to receive visitors in private. Contact with relatives and friends is encouraged, with residents’ welfare at the centre of decision making around the level and type of contact. Where necessary the manager liaises with family members to reduce potential conflict and resolve issues in the interests of the service user. Residents’ dietary needs are well met. Menu planning and shopping takes place with consultation and involvement of residents. On the day of the inspection, a Sunday, residents were enjoying a full cooked breakfast. Residents who would benefit from losing weight are fully supported and motivated to do so. Those needing to gain weight are encouraged and their weight closely monitored. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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 Residents’ participation in care planning ensures that they receive support in the way they prefer and require. EVIDENCE: Personal support is provided in a sensitive and timely manner by support staff. There was evidence to support this in care plans, and from discussions during the inspection. Access to specialist support is facilitated as necessary. Residents are involved in agreeing their support needs. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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): These standards were not assessed during this visit. EVIDENCE: These key standards were assessed and met at the last inspection. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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): These standards were not assessed during this visit. EVIDENCE: These key standards were assessed and met at the last inspection. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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): 32 and 34 Staff receive the training and supervision they need to support residents effectively. EVIDENCE: Staff training and supervision is given a high priority, with the positive approach to training and development recognised through the home’s Investors in People status. Training plans and profiles are updated in accordance with the IIP criteria. NVQ and induction training takes place in accordance with the Learning Disability Awards Framework. Staff members interviewed had benefited from a range of training, including health and safety topics, medication, physical intervention techniques and managing challenging behaviour. Staff are encouraged to gain NVQ qualifications. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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): 42 Regular environmental checks help to ensure the home is safe for residents and staff. EVIDENCE: The home has a comprehensive range of environmental risk assessments that were up to date and reviewed annually. The risk assessments cover every part of the home, and other areas such as food preparation, security and transport. Fridge and meat temperature charts were seen in the kitchen. There was evidence of regular water temperature testing, and a staff member was seen to carry out emergency lighting and fire safety checks during the course of the inspection. Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X X 3 X Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 Page 17 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. 1 Refer to Standard YA7 Good Practice Recommendations The service should refer residents for reassessment or advocacy if they express a desire to move so that an independent view can be obtained about their wishes, and acted on if necessary Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Wellesley House Residential Care Home DS0000008427.V261354.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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