Inspection on 02/03/07 for Wellroyd House

This inspection was carried out on 2nd March 2007.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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Alderson Road 12

Cranworth Close Registered Care Home

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Whitwood House

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

CARE HOME ADULTS 18-65 Wellroyd House Roils Head Road Highroad Well Halifax West Yorkshire HX2 0LH Lead Inspector Lynda Jones Unannounced Inspection 2nd March 2007 10:00 Wellroyd House DS0000064174.V322896.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 Wellroyd House DS0000064174.V322896.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. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellroyd House Address Roils Head Road Highroad Well Halifax West Yorkshire HX2 0LH 01484 667866 01484 667747 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) Bridgewood Trust Limited Post vacant Care Home 12 Category(ies) of Learning disability (11), Learning disability over registration, with number 65 years of age (1) of places Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection of the service under new ownership. Brief Description of the Service: Wellroyd House is in the Highroad Well area of Halifax, about four miles outside the town centre. The home is on a bus route to the town centre. The home is owned and managed by the Bridgewood Trust since August 2006. The Trust is an organisation that specialises in providing a service for people with learning disabilities in the Calderdale and Kirklees areas. Wellroyd House is registered to provide accommodation for 12 people, both men and women, although the occupants have always been men. There is a large comfortable lounge and a second lounge with adjoining dining room on the ground floor, where the main kitchen and laundry are also located. Bedrooms are at ground and first floor levels. All of the bedrooms are single. The weekly charge for living at the home is £446.24; this includes accommodation and all meals. People living at the home buy their own personal toiletries. Information about the home and the facilities is included in the Service User Guide, which is available on request from Wellroyd House. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgement categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This was the first inspection of Wellroyd House since the Bridgewood Trust took over the home in August 2006. This visit to the home took place over 6.5 hours. A pre inspection questionnaire was sent to the home before the visit took place. This provided useful information about Wellroyd House, which has been used in the preparation of this report. Comment cards were sent to all of the residents asking them to tell us about the support they receive. We received eight replies, one person didn’t want to fill the form in and one person was not able to give his views due to the nature of his disability. All residents were assisted to complete the surveys by either the acting manager or the residential services manager. Residents told us they had difficulties completing them because they didn’t understand some of the questions we asked. They also said they found it difficult to answer questions when there was a choice of answer and we asked them to tick a box. We found their comments helpful and we have passed on what they said, to the relevant people in our organisation. What the service does well: There is a very friendly atmosphere at the home. The people who live and work there make visitors feel very welcome. Wellroyd House is a lively place; there is always lots of activity going on. When the staff talk to the men they are very patient and they take time to explain things. They discuss choices with them and encourage them to make their own decisions. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 6 The acting manager and the residential services manager are really well liked by the people who live at the home and by the staff. They have led some excellent work on person centred practice and person centred care planning. The care plans are not just paper exercises. They focus on things that are important to the men. The information in the plans is easy to understand and good use is made of pictures and photos. Everyone is encouraged to take part in the day-to-day running of the home. Using pictures to help people to choose from the menus is a good idea. The picture board menu helps people to remember what is on offer. Residents are involved in things that interest them; they take part in work and leisure activities of their own choice. Residents said the staff listen to what they have to say. Staff recruitment procedures are thorough; this means that all staff are checked to make sure they are suitable before they start work at the home. Health and safety issues are given high priority. What has improved since the last inspection? What they could do better: The use of transport that is provided by the Trust needs to be carefully monitored to make sure that everyone gets equitable access in return for the contribution they make. Residents should use the mobility component of their Disability Living Allowance in a way that best meets their needs. Waking night staff must be provided to make sure that everyone’s needs are fully met and to make sure residents are safe during the night. The home needs a registered manager to oversee the future development of the home. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 8 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 Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents would always be assessed to make sure their needs could be met at the home. Information about the home is available for prospective residents to help them decide if it is suitable for them. EVIDENCE: There is a service user guide and a statement of purpose for Wellroyd House that was prepared when the Bridgewood Trust took over management of the home in August 2006. The Trust also has an admissions procedure to make sure that prospective service users are properly assessed before they move into the home. Wellroyd can accommodate twelve people but at the moment there are only ten men in residence. The majority moved into the home in the mid 1980s and 1990s. The last person took up residence in 2004. In the surveys sent out before the visit to the home, we wanted to know if residents were asked if they wanted to move into the home. Three people said Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 10 they had looked round the home first. One person was not shown any other homes and one person said he didn’t have any choice about moving in. Some people couldn’t remember because it was a long time ago. The acting manager said it was the policy of the Bridgewood Trust that every person considering moving into the home would have contact with them before making any decision about moving in. This would give people the opportunity to meet other residents and staff and to have a look at the accommodation. In recent years there has not been a great deal of investment in the building and the home was in need of modernisation and refurbishment. The Bridgewood Trust is committed to carrying out the necessary building work and upgrading the house. In order to ease the stress on the residents and staff they are not taking any new admissions to the home until the bulk of the work is completed. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are consulted and involved in decisions about their own lives. All residents are actively involved in planning their own care and support. Everyone is supported and encouraged to be as independent as possible. EVIDENCE: The staff at Wellroyd strongly believe that residents should have control of their own lives. Residents are encouraged to exercise their rights and staff make it their business to make sure that the people who live there, including people with limited communication skills, have enough information to make decisions about their lives and to take responsible risks. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 12 One area where consultation with residents could have been better is about their preferred use of transport. Residents were interviewed individually by the manager of the home and by the Bridgewood Trust’s finance manager. They explained how the Trust’s transport policy worked and how it could be introduced at Wellroyd House. It is disappointing that the Trust did not also involve an independent advocate in this process. An advocate not connected with the Trust is known to all of the men at Wellroyd. This practice would have helped to make sure that everyone fully understood what the policy meant to them and ensure that their rights were protected. A car was provided by the last home owners but it was withdrawn several months ago, before the Trust took over, as it was in need of repair. At that time, the men paid for usage of the vehicle out of their Disability Living Allowance, they were charged for each trip they made. Since the car was withdrawn, all residents have been used to using public transport or getting a taxi if public transport was not possible. Staff said the need for another car had not really been identified. Residents have been using their Disability Living Allowance to cover their own personal transport costs. However, since the Trust took over the home they have provided a people carrier for resident’s use. The licence agreement that the Trust have introduced states that it is “the policy of the Bridgewood Trust to retain the Disabled Living Allowance, entirely, from each resident living in one of our homes and in return, to provide a multipurpose vehicle(s) usually of some 8 seats capacity, for use of that home”. Residents were asked for their views on this and asked to sign the licence agreement giving permission for the Trust to use their allowance in this way. One resident did not wish to join the transport scheme. Relatives and representatives who act as appointees for the men were also consulted about the agreement. One relative did not agree to the allowance being used and another relative only agreed to a part of the allowance being used in this way. The men who do contribute their Disability Living Allowance also receive travel costs for day-to-day travel, special trips and holiday travel back from the Trust. The finance officer for the Trust will be monitoring usage for a year from October 2006 when the agreement was first set up. Everyone has a person centred plan, which sets out their individual needs and outlines the action that will be taken to meet those needs. The plans are of excellent, they are not paper exercises, and they show that residents and staff have genuinely worked together to pick out the things that matter in residents’ lives. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 13 I looked at some of the plans in the dining room and was joined by a couple of residents who talked about what was in their plans. It was clear that they had been fully involved and really enjoyed putting them together. They knew what steps they wanted to take to work towards the targets they had set for themselves, they clearly “owned” their own plans and were really proud of what they had achieved. The plans are presented in a format that ensures that each person can understand the information that it contains. Photos and pictures are used and the plan is written in plain language. Annual reviews of plans are detailed. Evidence shows that residents and staff work hard to prepare for review meetings; these are also not just paper exercises. Before a review, residents complete a questionnaire with help from a manager from another home. This person usually chairs the review meeting. Although these are not the only way for residents to make their views known, the questionnaires could be improved. At the moment the questions need only a yes/no/not sure response, which doesn’t get to the heart of what people really feel. Residents also work with their keyworker, looking at what they have achieved and what they want to work on in the future. Also before the review takes place, people who are important in the life of each resident are asked for their views on how things have been over the past twelve months. Residents can invite them to their review meeting if they want to. Residents themselves are central to the meetings. The plans show that residents’ rights to take responsible risks are acknowledged. Action is taken to minimise identified risks and hazards and wherever possible, residents are fully consulted when risk assessments are completed. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone goes out regularly and takes part in a range of leisure activities. Residents are able to make choices about their life style, and supported to develop their life skills. Staff are good at supporting people to stay in touch with their families. EVIDENCE: The staff show a strong commitment to promoting the rights of individuals to live an ordinary and meaningful life, both in the home and in the community. Evidence demonstrates that residents are supported to develop their independent living skills and to be involved in all areas of daily life at the home. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 15 Residents said they take part in the day-to-day running of the home. They said they are involved in planning and preparing meals. The menu is varied and includes healthy options. It includes a variety of dishes that encourage individuals to try new and sometimes unfamiliar food. One of the residents pointed out some photos that had been taken of residents and staff trying a range of exotic fruits for the first time. They had seen the fruits in the supermarket and wondered what they tasted like, so staff arranged a tasting session. An innovative picture menu board has recently been introduced, with great success. Pictures of items of food have been downloaded from the Internet and laminated. When residents get together with staff to decide what will be on the menu, they put all of the pictures on the table for people to choose what they want to eat. By doing this, it reminds everyone of the range of options that they can choose from instead of selecting the same meals every time. Residents then put the pictures of food together so that they show what will be on the menu for the next three days. The pictures are stuck onto a plate by magnet and are then displayed on the kitchen notice board, showing the main meal of the day. Residents can see whether they like all or only part of the meal and can choose from the alternatives that are also displayed. Residents are involved in meaningful daytime activities of their own choice; they are fully involved in the planning of their lifestyle and quality of life. For example, one person is doing a computer course at college; another is going to singing and dancing classes. One resident has a work placement at a home for older people, another person really enjoys going to the horticulture centre, which is run by the Bridgewood Trust in Huddersfield. Residents do not have to go out during the day, they are assisted to take part in things that genuinely interest them and help them to develop their skills. These are some of the things residents said about how they make decisions about what to do each day. “I do the things I want to do”, “sometimes staff ask me to go out with them” “ I usually make my own mind up” “ I see what the staff are doing and see if I want to do it or not”. Everyone agreed that they could do what they wanted to do during the day, in the evenings and at weekends. Residents have the opportunity to develop and maintain important personal and family relationships. Residents have active social lives, everyone is welcome to have friends round and they are supported by staff if they need assistance to visit friends and relatives. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. Health care issues are assessed and reviewed to make sure that individual needs are not overlooked. All residents are treated with respect and dignity. EVIDENCE: Efficient systems are in place to ensure residents receive effective personal and healthcare support. Residents’ individual plans clearly record their personal and healthcare needs and detail how they will be delivered. Daily support plans are written in the first person and outline exactly what prompting and support people need. Residents said they had been involved in writing them themselves. The plans are informative and extremely well written. If for any reason all of the staff at Wellroyd were unavailable for work, Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 17 it would be possible for agency staff or staff from another home, to follow the plans and support people in the way they wanted. The staff recognise that delivery of personal care is highly individual and must be flexible, consistent and reliable. Attention is given to ensuring privacy and dignity when delivering personal care and staff are sensitive to the changing needs of residents. Wherever possible residents are supported and helped to be independent and responsible for their own personal hygiene and personal care. From looking at the records and from talking to staff it is clear that health care issues are given high priority. Staff make sure that those residents who are fit and well enough are encouraged to be independent and visit local health care services. Regular appointments are seen as important and systems are in place to ensure they are not missed. The outcomes of all appointments and consultations are well written. One resident was very proud of the success he has had in losing weight. The staff have supported him to eat healthily and to design his menus so that he can work toward his target weight. The home uses a monitored dose system for the administration of medication. Records are satisfactory, all medication coming into and leaving the home can be tracked. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that the staff listen and act upon what they have to say. Residents said they know who to talk to if they have any worries. Measures are in place to ensure that residents are safe and protected from abuse. EVIDENCE: The home’s complaints procedure is in picture format and everyone has a copy on their personal file. From the responses to the surveys it appears that residents are clear about who they would speak to if they were unhappy about anything. Everyone identified staff that they would talk to and said they knew how to make a complaint. We asked residents if they felt the staff listened and acted on what they had to say and everyone said that they did. In response to the question “do the staff treat you well”, everyone said either “yes” or “always”. Training of staff in the area of protection is regularly arranged by the Trust, the last session took place in February 2006. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents will benefit from the extensive improvements that are taking place at the home. Every effort has been made to ensure the safety of residents while building work takes place. EVIDENCE: In recent years there has been very little investment in Wellroyd House resulting in many parts of the home needing to be redecorated and refurbished. The Bridgewood Trust is committed to improving the facilities throughout the home. The improvements involve some major building work to one side of the house. Work is already underway and it is expected to take several months to complete. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 20 Residents are very enthusiastic about the proposals to improve the house. Internally the walls have been stripped ready for redecoration, one of the residents has assisted the decorator with some of this work. One of the bathrooms has been tiled and redecorated and one of the bedrooms has been completely refurbished. Residents said they didn’t have any say in the choice of tiles that were used in the bathroom. They have been asked to choose colours for their rooms and they have been consulted about the decoration in the dining room and lounges. A risk assessment has been carried out to make sure the building remains safe while the work is carried out. Every effort is being made to keep disruption to a minimum. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment procedures make sure that staff are appropriately checked before they start work at the home. All staff have the appropriate skills and experience to work at the home. There are sufficient staff on duty during the day to support residents, the issue about waking night staff must be speedily resolved. EVIDENCE: The home is adequately staffed during the day to meet the needs of residents. One of the staff who works until 10pm remains at the home on “sleep in” duty throughout the night. There are no waking night staff. At the last inspection of the home in July 2006 before the Bridgewood Trust took over the home, we were concerned about the safety of residents during the night. Two residents were getting up in the early hours of the morning and Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 22 going out of the home leaving the building unsecured, putting themselves and other residents at risk. The management team have asked the Local Authority to re-assess the needs of residents with a view to providing funding for a member of night staff to be on duty during the night. This matter has still not been resolved. The team of staff work well together, they have the skills and experience necessary for the tasks they are expected to carry out. The acting manager said staff supervision was on target with sessions taking place every 4/6 weeks. The records show that regular staff meetings take place. All staff have an individual training plan for the year, training needs are identified through the support and supervision process. All new employees undertake the required mandatory training. Details of staff training were provided before the visit to the home, these show that staff have attended a range of training on topics such as dementia care, bereavement support and abuse awareness. 60 of the staff have successfully completed NVQ training. The Bridgewood Trust operates a thorough staff recruitment procedure. New members of staff do not start work until they have been checked to make sure they are suitable. References are always taken up, employment histories are explored and checks are carried out with the Criminal Records Bureau and Protection of Vulnerable Adults register. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There needs to be a registered manager to oversee the future development of the home. Residents and their families are asked for their views on the way the home is run. The standard and quality of record keeping is very good. EVIDENCE: The home does not have a registered manager at present. The acting manager does not wish to be considered for this position. The residential services Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 24 manager said the Bridgewood Trust has plans to appoint a manager from one of their other homes to this position. The service has sound policies and procedures, which are regularly reviewed and updated, in line with current thinking and best practice. The home works to a clear health and safety policy, and regular random checks take place to ensure they are working to it. Residents are aware of safety arrangements particularly in relation to the work that is taking place within the home at the moment. Checks show that records are of a good standard and are routinely completed. Monthly visits are carried out by one of the residential service managers on behalf of the Trust. These are done to check on the standard of care provided in the home. Copies of reports that are made as a result of one of these visits are sent to us . The acting manager has recently surveyed the representatives of the men who live at Wellroyd asking for their views on the service provided. At the time of this visit the results had not been written up. We received copies of the responses, which were all extremely complimentary about the staff and the care they provide. Staff and residents have also been surveyed about living and working at the home. The residential services manager said he intends to analyse the surveys and publish the results in the next few weeks. Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X 3 3 X Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 26 N/A 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 YA7 Regulation 12 Requirement Residents must be given a real opportunity to make an informed decision about how they want to use their Disability Living Allowance and must be provided with the right support and help to make this decision. The home must be adequately staffed at night to meet the needs of residents. The Bridgewood Trust must appoint an individual to manage the home. Timescale for action 30/04/07 2 3 YA33 18(1) (a) 8 31/05/07 30/04/07 YA37 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Wellroyd House DS0000064174.V322896.R01.S.doc Version 5.2 Page 28 - 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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