Inspection on 20/09/05 for Wellington Road (51)

This inspection was carried out on 20th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wellington Road (51) 24/09/08

Wellington Road (51) 22/06/06

Wellington Road (51) 08/02/06

Wellington Road (51) 10/03/05

Wellington Road (51) 24/09/04

Wellington Road (51) 27/02/04

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 Wellington Road (51) 51 Wellington Road New Brighton Wallasey Wirral CH45 2ND Lead Inspector Leila Mavropoulou Unannounced Inspection 20th September 2005 03:30 Wellington Road (51) DS0000018954.V252695.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 Road (51) DS0000018954.V252695.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 Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wellington Road (51) Address 51 Wellington Road New Brighton Wallasey Wirral CH45 2ND 0151 639 5685 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) dmilligan@btinternet.com Mrs Patricia Pauline Milligan Darryl Lindsay Milligan Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th March 2005 Brief Description of the Service: Wellington provides accommodation and personal care for 8 residents in both single and shared bedrooms. The home is a large terraced house in the New Brighton area of Wallasey and is within a short walking distance from the promenade. The home had two large sitting rooms and a dining room on the ground floor. The home is a short walking distance from the local shops, train station and bus stop. Some of the staff have completed their NVQ level 2&3 in care and one is nearing completing their NVQ level 2. The staff at the care home receives ongoing supervision and training from the manager and by attending external courses. Wellington Road (51) DS0000018954.V252695.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 that lasted three and half hours, during which resident and staff records were inspected as well as records the home is required to keep such as: fire book, accident book etc. In addition the inspector spoke to seven of the residents and three staff and the manager to find out their views about the quality of service provided at Wellington Road. 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. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 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 Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 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): 1,2,3,4,5, The home would make their own assessment of the resident needs to ensure that they would be able to provide the necessary care and support to the resident. EVIDENCE: The home has a detailed Statement of Purpose setting out the services provided at Wellington Road and details of their admission process. The home has not had a new admission for over ten years. However, discussion with the manager and the information in the home’s Statement of Purpose show that a detailed assessment would be made by the manager of the care home and assessment would be over a significant period of time, which would include visits and trial period to the home. Each resident has a written terms and condition of the home, which states clearly what is included in the weekly fees and the period of notice required for the termination of the placement at Wellington Road. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 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): 6,7,8,9, Each resident has a care plans and risk assessments to promote their physical and emotional well- being. EVIDENCE: Each resident has a care plans and risk assessments showing how their assessed needs would be met. These are reviewed at regular intervals with other health professionals. The residents at Wellington care needs have not changed over the past years and they have established a programme of activity and daily living that promote their independence, meets their social and emotional needs. Observation and discussion with the staff demonstrate clearly that the residents make decision over their lives such as: choosing to gain employment, holidays, going home for the weekend, shopping, meals etc. The residents are supported by staff to manage their finance and records are kept of valuable/monies given to staff for safekeeping. Discussion with the manager, staff and residents show that the residents are consulted in all aspects of life. This includes admission of a new resident to the home. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 9 The staff support the residents to take consider risks and by taking appropriate action to minimise any identified risks. The home has a missing persons policy, which is implemented when there is an unexplained absence of a resident. Wellington Road (51) DS0000018954.V252695.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): 12,13,14,15,16, The staff supports the residents to access community services and training opportunities at local colleges to develop skills to improve their quality of life. EVIDENCE: The staff supports the residents to develop and maintain practical life skills as observed e.g. residents clearing up after the evening meal, doing the washing up and tidying the kitchen. The residents are able to fulfil their spiritual needs by attending the local churches if they wish. The staff at the home supports the residents to access various community facilities as evidenced in through discussion with the residents and entries in their daily records. This includes outings to local shops, restaurants, markets and attendance at the local college on the following courses: Can’t Cook and Passport to Clever Clay one day a week. One of the resident is applying for jobs with the support of the staff. The resident’s records and photographs displayed in the resident’s bedroom show that the staff supports the resident to maintain contact with family and friends. On the evening of the inspection the inspector observed residents discussing with staff what film they wanted to go see at the cinema that Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 11 evening. Observation during the inspection showed that the residents are able to choose to be on their own. Observation and discussion with the resident show that they participate in a range of activities to meet their individual preferences these include: colouring and drawing, cooking, computing etc. The residents went on holidays to Llandudno in North Wales for five days, they enjoyed. The residents choose where to go and made a contribution towards the cost of the holiday. Some of the residents go out to visit friends and family regularly at the weekend with overnight stays, as evidenced through discussion with the residents. The home has an unrestricted visiting policy and the resident are able to choose where to see their visitors. The residents in the care home have the opportunity to develop relationships with others who do not have the same disability, as they access a wide range of community facilities that are not specific for people with disability. The resident have access to all parts of the home and can choose to be on their own or with the other residents as observed during the inspection. The residents are respected as evidenced in the way staff spoke to the residents regarding choices of the evening outing. The home maintains a record of food provided to the residents and they are involved in the weekly menu planning. Currently, all of the residents are able to eat without any assistance and do not require a special diet. Discussion with the manager indicated that where necessary special diets would be catered with the support from the dietician. Wellington Road (51) DS0000018954.V252695.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): 18,19,20 The staff at the care home provides personal care and assistance to residents in a manner that promote their respect and dignity. EVIDENCE: Currently, all of the residents are mobile and do not require any assistance with moving and handling. The home does not have any aids at present, as they are not required. However, discussion with the manager indicated that appropriate aids would be obtained as required to meet the needs of the resident, after discussion with appropriate health professionals. Inspection of the residents show that the staff monitors closely the health needs of the residents and would seek medical advice promptly as evidenced in one the resident file. The residents’ files show that they receive regular health checks from the optician, dentist, chiropodist and GP. Currently, the residents visit the GP surgery when they need to see the doctor and staff would accompany them if they wish, as well as outpatient appointments. Currently, the staff at the care home administers all of the resident’s medication and maintains an accurate record of all the residents medication. The residents if they wish to administer their own medication would be able to do so, once they are assess by the staff as being competent to do so safely. Wellington Road (51) DS0000018954.V252695.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 The home’s policies and procedures protect the residents, as they are vulnerable due to their disability. EVIDENCE: The home has a complaints procedure and various policies and procedures in place to protect the residents from all forms of abuse. Discussion with staff indicated that they are aware of the differing forms of abuse and are clear on the procedure they need to follow in the event of any allege abuse. The home provides a safe storage for the residents’ monies and records are kept of financial transactions. Wellington Road (51) DS0000018954.V252695.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): 24,26,30 The home is well maintained and provides a “homely”, comfortable and safe environment for the residents. EVIDENCE: The home is well maintained both internally and externally. A tour of the house showed that the residents bedrooms are personalised with items that reflect their taste and preferences with items such as; photographs, music centres etc. The home is not suitable for wheelchair users or residents that have a mobility problem, as all of the accommodation is provided on the first and second floor, as access is only by the stairs. The home is located close to public transport, shops and other community facilities, which the residents are able to access easily. The furnishings in the home are of a good quality and reflect the homely environment that the home wants to promote. The communal area is bright and spacious. The two lounges enable the residents to choose television programmes they wish to watch, or to play games in one of the sitting room. All of the communal areas could be used for a variety of purposes. There is a small garden to the front and rear of the property, which the residents are able to use, as observed. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 15 The residents’ bedrooms are decorated and furnished to reflect their taste. In the shared bedrooms privacy screens are provided to promote the resident’s right to privacy. The home has a member of staff that works a sleeping in duty and separate bedroom is provided for the staff to sleep and store their personal belongings. The home laundry area is located in the garage away from the food preparation area and policies and procedures are in place to prevent the spread of infection. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): The staff at the care home are provided with the necessary training and support to ensure that the residents’ needs are met. EVIDENCE: The staffing level at the care home reflects the level of dependency of the residents. The staff have the time to do uninterrupted work with the residents when necessary. The home has a low staff turnover and sickness level. Thus, promoting continuity of care to the residents. This was evidenced through inspection of the staffing rota and discussion with the staff on duty. Many of the staff have achieved their NVQ level 2 in Care or are working towards achieving this qualification. The staff commented that working in the home was not like being at work as there is such a homely and relaxed atmosphere. The staff receives regular day to day supervision from the manager. However, the manager must do “one to one” formal supervision with staff to comply with the requirements of standard 36 of the National Minimum Standard. The home has a robust recruitment procedure to protect the residents, which include obtaining two written references and a Criminal Records Bureau check. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 38, The manager of the home provides strong leadership to promote the interests of the residents in an environment where risks are minimised to ensure the health and safety of the residents. EVIDENCE: The manager promotes a clear sense of direction and leadership to the staff at the home. Observation and discussion with the staff and residents show that the manager is always accessible. The residents and staff at the home feel that they are able to influence how things are done in the home through informal discussion and making general comments to the manager, which is considered when decisions are made. The manager assesses the quality of care provided at the home through giving the residents and their family questionnaires every six months to obtain their views. The findings from the questionnaires are evaluated and where necessary action is taken to improve areas the care process as identified. The home reviews its policies and procedures as required by changes in legislation. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 18 Inspection of the residents’ records showed that they were well maintained and that they were kept in a secure place. Discussion with the manager indicated that the residents have access to their records in accordance with the home’s access to records policy. The manager promotes the safety of the residents by ensuring that staff training in food hygiene, fire awareness are up to date as evidenced in the staff training records. In addition regular fire checks are carried out and testing of hot water. The home maintains a record of all accidents in the home. There has been no entry in the accident book since the last inspection. However, the manager must obtain a copy of the current accident book, which the home should be using. The home has displayed a current Public Liability Insurance to cover the home personal liabilities and business interruption. Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 19 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 3 3 3 3 x Standard No 22 23 Score 3 3 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 x 3 x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x 3 3 x 2 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wellington Road (51) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x 3 3 x DS0000018954.V252695.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? no 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 YA19 Good Practice Recommendations The registered person should review its recording of when service user access other health professional to enable staff to assess easily the frequency and for what reason and the outcome. The registered person should review the risk assessment of the building to include all of the residents’ bedrooms. The registered person should have one to one supervision with the staff to meet the requirement of this standard. The registered person should obtain the format book for the recording of accidents. 2 3 4 YA24 YA36 YA42 Wellington Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Road (51) DS0000018954.V252695.R01.S.doc Version 5.0 Page 22 - 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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