Inspection on 18/10/05 for Wellington House

This inspection was carried out on 18th October 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wellington House 03/07/07

Wellington House 05/07/06

Wellington House 11/01/06

Wellington House 05/01/05

Wellington House 08/06/04

Wellington House 21/01/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Wellington House 63 Little Wood Street Norton, Malton North Yorkshire YO17 9BB Lead Inspector Terry Downey Unannounced Inspection 18th October 2005 09:30 Wellington House DS0000007824.V256665.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 Wellington House DS0000007824.V256665.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. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wellington House Address 63 Little Wood Street Norton, Malton North Yorkshire YO17 9BB 01653 696282 01653 696282 wellingtonhouse1@btconnect.com 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) Ryedale Care Homes Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 16 Service Users with Learning Disabilities some of whom may also have a Physical Disability and some of whom may also be over 65 5th January 2005 Date of last inspection Brief Description of the Service: Wellington House, Norton, is registered to provide residential personal and social care to up to 16 people with learning disabilities some of whom may also have physical disabilities. The home is a detached property in a residential area of the town with good access to the services and amenities. There is a small extension to the original house. Four people with mobility problems live in this purpose built accommodation. Residents in the main house need to be able to negotiate stairs to reach their bedrooms. The registered provider is Rydale Care Homes with the responsible individuals being Mr and Mrs Greene who are also the registered managers. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 18th October 2005. Both Mr and Mrs Greene the registered providers and managers were available to assist with the inspection and it was also possible to speak to 4 members of staff. The residents communicate in a special way so some of my comments are based on observation of the interaction between the residents and staff. The inspection also involved a check on the requirements from the previous inspection, a tour of the premises, and a check on some of the records. The inspection took 7 hours which includes preparation time. The home was clean, well decorated and furnished, and there was a pleasant atmosphere. The residents were in the lounges and dining area, doing activities and listening to music and the staff were busy in a variety if care duties. All the residents had been at the home for at least 10 years and were familiar with the home and the routines. The inspection showed that the home was well organised and managed and that the staff were aware of their duties, and the residents were well cared for. What the service does well: What has improved since the last inspection? Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 Page 6 The home continues to keep up to date with current good legislation and good practice by obtaining recent publications and sharing these with the staff. 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. Wellington House DS0000007824.V256665.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 Wellington House DS0000007824.V256665.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): 2,3,5. Residents know that if they choose to live at Wellington House their care needs will be met. EVIDENCE: No new residents have been admitted for a long time but the manager is fully aware of the requirements if a new service user was to be admitted and has the assessment tools available. Written terms and conditions of residence are issued in respect of each service user. Because of the high dependency needs of the service users relatives are involved and are given a copy of the terms and conditions. Wellington House DS0000007824.V256665.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): 6,7,8,9. The residents’ health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have some control over their lives in the home. EVIDENCE: All residents have a detailed care plan which identifies their personal and social needs. The plan is discussed with the resident and a note made of how it was agreed. The manager said that the residents have a ‘wealth of non verbal communication which staff can understand’. This was witnessed during the inspection and it was clear that the residents could make their needs known to the staff who were seen to be encouraging and supportive. Wellington House DS0000007824.V256665.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): 12,13,15,16,17. The residents eat well and enjoy a wide range of activities both inside and out of the home. EVIDENCE: Each resident had an individual programme aimed at developing their skills and staff are available to support them. The activities involved at the time of the inspection were music, art and craft, foot care / beauty care, local shopping (daily), going out into the community, and baking. The staff are constantly looking for new activities which will interest the residents and provide further stimulation and development. All residents use the local facilities in Norton and Malton and all go out regularly. Food is an important part of the residents lives and they help to choose the menus weekly and each resident will take part in helping with the shopping. They also like to eat out and are well known in local cafes. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 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): 18,19,20,21. Individual resident’s physical and emotional needs are met. EVIDENCE: Residents have their personal support needs identified in their care plans and include clear instruction about how support is provided safely and according to the service users preference. All staff receive training in privacy and dignity and the manager works alongside the staff team and observes their practice The home uses the Boots monitored dosage system and has a clear policy for the storage and administration of medication. All staff have completed the Safe Administration of Medicines course from York College as well the training course from Boots. None of the service users self medicate. All records were well maintained and up to date. It was recommended that the home maintain some record of the residents, or their relatives, wishes for the arrangements to be made after death. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 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): 22,23. A lack of understanding by some staff of the Adult Protection Procedure could put residents at risk. EVIDENCE: Although the manager has a good understanding of the Adult Protection Procedure and there is literature in the home for the staff, some of the staff from overseas were not able to demonstrate their knowledge satisfactorily. Some said they had not received the training but the manager disputed this and it may just be a lack of understanding. A robust recruitment procedure ensured that unsuitable people were not employed by the home The home has a complaints procedure and although no complaints have been made by the residents the staff considered that they would make their concerns known if they were not happy. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 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): 24,25,26,27,28,29,30. The home was clean and well decorated and furnished. One bedroom carpet was identified as needing replacement. EVIDENCE: The home was well decorated and furnished and well maintained. A carpet in an upstairs bedroom was very worn and requires replacement. The home was clean and free of any offensive odours. The staff considered that there was sufficient specialist equipment in the home to meet the needs of the residents. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 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): 32,34,35,36. The staff are well trained and well supported by the manager which ensures that the residents are supported and the staff are aware of their duties. EVIDENCE: There is a settled staff team with a mixture of experience and skills. The staff know the residents very well, and provide the stability they need. The home has a robust recruitment procedure which supports and protects the residents. All newly appointed staff complete an induction and foundation course to TOPSS specifications The duty rota indicated that there were sufficient staff on duty to meet the needs of the residents and staff also considered that they had sufficient time to provide the levels of care required. All staff receive supervision at least 6 times per year and this ensures that they are aware of the ethos of the home and feel supported by the management. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 Page 15 The staff considered that they were also well supported by each other and that this helped to make the home a pleasant place to work. Staff are not involved in NVQ level 2 training despite some of them expressing a willingness. The owners do not seem to consider the investment worthwhile and were concerned that they would be training staff who could then be poached by other homes. Wellington House DS0000007824.V256665.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): 37,39,41,42. The health and safety and welfare of the residents is consistently promoted by the registered managers who provide a very settled staff unit and offer clear leadership and guidance to the support staff. EVIDENCE: Regular well attended staff meetings ensure that staff are aware of the ethos of the home and have an opportunity to influence the development of the home. Mr and Mrs Greene also work alongside the staff so there is good contact and communication between management and staff which helps the home to run smoothly. Some of the staff and most of the residents have been in the home for a long time and it is clear that they have been able to influence the development of the home. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 Page 17 A quality monitoring system is in place and takes place annually. Relatives are consulted and staff undertake the checks as service users are unable to complete the checklists due to their high dependency needs. Any issues are looked at by the owners and a development plan put in place. Hot water temperatures should be checked weekly and recorded. It was also recommended that a weekly health and safety hazard check is carried out in the home. Wellington House DS0000007824.V256665.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 3 x 3 Standard No 22 23 Score 3 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wellington House Score 3 3 3 2 Standard No 37 38 39 40 41 42 43 Score 3 X 3 X 3 2 x DS0000007824.V256665.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. 1 Standard 23 Regulation YA13 Requirement All staff must be given appropriate training to prevent residents from being harmed or suffer abuse. Timescale for action 31/12/05 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 3 4 5 Refer to Standard YA21 YA25 YA32 YA42 YA42 Good Practice Recommendations Residents or their relatives should be consulted about the arrangements to be made after death. The carpet in the upstairs bedroom identified during the inspection should be replaced. 50 of the staff should be trained to NVQ level 2 by 2005 Hot water temperatures should be checked and recorded weekly. It was recommended that a weekly health and safety hazard inspection is carried out and recorded in the home. Wellington House DS0000007824.V256665.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Wellington House DS0000007824.V256665.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. 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