Inspection on 05/07/06 for Wellington House

This inspection was carried out on 5th July 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

Wellington House 03/07/07

Wellington House 11/01/06

Wellington House 18/10/05

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 Karen Ritson Key Unannounced Inspection 5th July 2006 09:30 Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 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.V302865.R01.S.doc Version 5.2 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.V302865.R01.S.doc Version 5.2 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 Mr Terence Greene Mrs Kathleen Barbara Greene Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 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 11th January 2006 Date of last inspection Brief Description of the Service: Wellington House, Norton, is registered to provide residential personal and social care for up to 16 people with a Learning Disability, some of who may also have a physical disability. The home is a detached property, situated in a residential area of Norton, North Yorkshire. The home is close to local transport networks. A bus service runs through Norton and the train station is in neighbouring Malton. Residents’ accommodation is arranged over 2 floors. There is no passenger lift, however the four people accommodated who have mobility problems live in the ground floor area of the home. The home charges between £340 and £840 per week according to assessed needs. Fees exclude chiropody and hairdressing, which are charged at cost. This information was provided to the Commission on 26th May 2006.The home has a statement of purpose and service user guide; these, with the CSCI report are available on request. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection for this service took 16 hours. This includes time spent gathering information and examining documentation before and after a site visit and in writing the report. The site visit took place on 5th July between 9.30am and 2.30pm. A tour of the premises was made. Most of the service users did not have capacity to speak with the inspector; however, observations of care were made throughout the day. Two members of staff were spoken to. Comment cards were received from two health care professionals and reference to their observations has been included within the report. Three service users were case tracked and their files with all related documentation were examined. Health and safety documentation and other relevant policies and procedures were also looked at. Information provided to the commission in the form of a pre inspection questionnaire has also been used taken into consideration, along with notifications sent to the Commission from the home since the last inspection and any other communications. All key standards were assessed at this inspection. The manager was present throughout the site visit. What the service does well: This home offers a very high level of care for service users, within a homely and well -decorated environment. The manager and staff get to know the service users well and have a detailed knowledge of what each person needs, which results in good, appropriate care for each individual. A health care professional said: ‘I am very satisfied,’ and that the home provided: ‘Excellent care.’ The home succeeds in providing service users with a range of stimulating activities, which are chosen with each person’s needs in mind. Staff are supported in their job and can go to the manager if there are any concerns. They are well aware of the needs of this service user group and realise the importance of protecting people from abuse of any kind. Staff from overseas said the manager had helped them to settle in and other staff had made them feel welcome. They had been given time to attend language lessons and to get to grips with new paperwork. One said: ’I have been made to feel welcome and given time to learn.’ As a result she is competent to provide a quality service for those in her care. Other staff also receive appropriate regular training. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 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. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 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.V302865.R01.S.doc Version 5.2 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 Quality in this outcome area is good. Prospective residents and their representatives have the information needed to choose a home which will meet their needs. Service users needs are assessed and their contract clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. 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. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 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 and 9 Quality in this outcome area is good. The health and personal care which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service EVIDENCE: The home keeps a detailed care plan for each service user, which is kept under regular review. The plan focuses upon what can be done to help each person retain existing skills. It focuses upon the individual and takes all areas of care into consideration including any specific needs in relation to the person’s disability, race, ethnicity, age, sexuality, gender or beliefs. Health care professionals are consulted where necessary and guidance is included in the plan. Comment cards received from health care professionals were very complimentary regarding the way in which the home worked alongside them and were attentive to individuals needs. One wrote. ‘Very satisfied –excellent care.’ Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 10 Another indicated that the home communicates clearly and works in partnership with health care professionals and that staff demonstrate a clear understanding of the care needs of service users. Risk assessments are available for each service user and any restriction on choice explained. The home manages the personal allowances for some of the service users. A numbers of records were checked and no discrepancies found. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 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): 12,13,14,15,16 and 17 Quality in this outcome area is excellent. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet which they enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has an individual programme aimed at developing skills and staff are available to support service users in this. Three activities are on offer each day, which have been devised taking into consideration each service user. Activities include going to the cinema, shopping, visiting teashops and going out for days in the homes’ own transport. Others include, spending time in the sensory room, drawing, art and craft. Most of the service users have complex care needs and their days are planned to take full account of each individual and what will help stimulate and entertain that person. Responses to activities are recorded in diary entries. Staff said they were given plenty of time to spend with service users on a one to one basis as key workers. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 12 Observations were made throughout the day and service users were obviously contented and engaged in activities which were stimulating and meaningful to them. Three of the service users go out with friends or family members and visit the family home, other service users, who have more complex needs receive visitors at the home. Menus were seen and showed a variety of nutritious options. A midday meals was observed and service users were obviously enjoying it. Those who required assistance were offered it with care and kindness. Residents are helped to choose what they would like to eat through the use of photographic prompts if needed. The dietician is involved where necessary and all recommendations recorded and followed. All nutritional needs are recorded on file. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 13 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 and 20 Quality in this outcome area is good. Service users receive sensitive care, appropriate to individual needs. Their wellbeing is safeguarded and they make decisions about the way assistance is offered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All personal care needs including the way in which care is to be offered are recorded in care plans. All service users have a key worker who will assist with personal shopping or visit the hairdressers for example. All staff have received manual handling training. Observations on care offered to service users were made throughout the day and without exception this was done with consideration, involving the service users by speaking to them throughout, consulting with them and explaining what was to be done. Medication is stored, recorded and administered appropriately and all staff who handle medication have completed training with York College. Comments from health care professionals indicated that staff listened to and acted on their advice, and that they were always able to see their patients in private. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 14 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 and 23 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure; their complaints are listened to and acted on. Service users are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an effective complaints procedure and policy. Feedback from health care professionals on comment cards indicated that there was always a senior person in charge who could be approached if there were any concerns, however, none were aware of any complaints made about the service. The home keeps a book for the purpose of recording complaints and their outcomes but none had been received since the last inspection. Service user care plans clearly showed the way in which care was to be offered and daily diary sheets recorded service users responses to care offered and adjustments made where necessary. Staff said they met regularly to discuss care needs, make certain that the care offered was appropriate and to discuss any niggles. The home employs a proportion of staff from overseas. At the last inspection some of these staff had not been able to demonstrate knowledge of the adult protection procedure. All staff have now received adult protection and abuse awareness training and were able to demonstrate this awareness in discussion. Policies are in place. The manager should update her training in abuse awareness with an external provider. One member of staff who has not yet done so should complete the training book to demonstrate her completion of abuse awareness training. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 15 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 and 30 Quality in this outcome area is excellent. Service users live in a safe, well-maintained, stimulating and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The premises are well maintained and homely. It is accessible throughout to those service users who have upstairs rooms. Those who have mobility problems are accommodated on the ground floor. It is clean, light and odour free. Each private room is decorated to individual taste and with all required equipment. The communal areas of the home are very appropriately decorated for the needs of those living there. There are photographs of service users, family and notice boards with photos of days out and activities throughout the home. One lounge has a fish tank and there are textured and other pictures throughout the home. There is a mini sensory area at the foot of the staircase where service users enjoy soft coloured lights, mobiles and light catchers. An upstairs room is entirely set aside as a sensory room where service users enjoy music, lights and experience a number of textures and colours. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 16 There are other areas with decorative effects; these create interest yet maintain a calm relaxed feel. Those service users who have severe mobility restriction have access to items such as soft coloured balls and books by their chairs, which they can look at either on their own, or with assistance. The home has two hoists, (Oxford mini and midi hoists,) which are stored away from main areas. There is a call system to each room and the home has a Parker bath, in addition to other bathing and shower facilities. Visual prompts are pinned up in bathrooms and bedrooms wherever necessary to assist service users maintain as much independence as possible in daily care tasks. The laundry is suitable and situated away from the main home. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 17 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 and 35 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four staff files were examined. Staff are well recruited with all documentation in place. Those service users recruited from overseas have had references translated. Staff are also well trained. They all receive TOPSS induction and foundation training with certificates on file and all have a training profile. Sufficient staff are on duty to allow service users to receive one to one attention when needed and for the key-worker system to work effectively. Staff were observed speaking with service users and offering care in a kind and thoughtful way. They were all approachable and obviously understood each service users care needs well. Comment cards received from health care professionals indicated that they had a good working relationship with care staff, that they communicated effectively and that advice was acted upon. Staff said they received good support from the home’s management and had regular supervision. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 18 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 and 42 Quality in this outcome area is good. Service users benefit from an open style of management based on respect and from the considerable experience of the manager. Service users’ and others’ views inform practice. Their welfare is protected by robust health and safety systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The proprietor/manager has many years of experience in managing the home. She takes every opportunity to access training to update her skills. She is studying for a management degree at present but is unlikely to finish this in the near future. The manager has agreed to set up a folder in order to evidence her ongoing training. Staff said they received good support from the manager. The home has an annual quality monitoring system, where the views of service users, families, advocates and health care professionals are canvassed. The results of questionnaires are used to inform future practice. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 19 Whilst this is reported verbally, there is no formal annual development plan in place and the manager is planning to reinstate this. Health and safety is protected and promoted through staff training, effective risk assessments, regular checks on water temperatures, the checking and maintenance of electrical systems, gas supply, and servicing of all equipment. This is underpinned by compliance with all relevant health and safety legislation. Service user safety would be enhanced if all COSHH documentation were kept together. The home is complaint with the fire authority and environmental health department. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 20 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 3 23 2 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 21 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 2 3 4 5 Refer to Standard YA23 YA37 YA39 YA42 YA23 Good Practice Recommendations It is recommended that the manager complete ‘Protection of Vulnerable Adults’ Training. It is recommended that the manager keep a folder of evidence of her ongoing training. It is recommended that a development plan for the home be created from quality assurance feedback. It is recommended that all COSHH written documentation be kept together. The identified member of staff should fill in the book detailing evidence of training in abuse awareness. Wellington House DS0000007824.V302865.R01.S.doc Version 5.2 Page 22 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.V302865.R01.S.doc Version 5.2 Page 23 - 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. 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