Inspection on 28/11/06 for Wendorian

This inspection was carried out on 28th November 2006.

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

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

Other inspections for this house

Wendorian 02/12/05

Wendorian 05/05/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Wendorian Cracknore Hard Lane Marchwood Southampton Hampshire SO40 4UT Lead Inspector Marilyn Lewis Unannounced Inspection 28th November 2006 10:00 Wendorian DS0000060604.V316634.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 Wendorian DS0000060604.V316634.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. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wendorian Address Cracknore Hard Lane Marchwood Southampton Hampshire SO40 4UT 02380 867557 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) wendorian@ukonline.co.uk Wessex Regional Care Limited Mrs Lisa Smith Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd December 2005 Brief Description of the Service: Wendorian provides accommodation and support for five service users who have learning disabilities and may also present behaviour that is challenging to service providers. It is situated in Marchwood, a short distance from local shops and a within easy walking distance from the Solent. Wendorian is part of Wessex Regional Care Ltd. who own and operate two other homes in the Hampshire area. All service users are provided with single rooms, one of which has en-suite facilities. The home also has a lounge with dining area, a conservatory, kitchen and laundry room. There are sufficient bathroom and toilet facilities. The garden to the rear of the property has seating available and there is a wooden building at the end of the garden which service users use as a computer room. An office and sleep over room are available for staff. The registered manager stated in the pre inspection information dated the 6th November 2006 that fees for the home ranged from £1245 to £1630 per week. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 28th November 2006. The inspector met with three of the four service users currently resident at the home, two support workers and the registered manager. The service users were very involved in the inspection process, providing escorts for touring the home and participating in discussion about their care plans and daily life at the home. All the service users resident at the home are men. Care plans were seen for the three service users and records that included medication, complaints, staff training and recruitment and the home’s policies and procedures. The three men spoken with said that they wished to be known as service users and this is how they are referred to in this report. What the service does well: . The atmosphere in the home was relaxed and there was a good rapport between service users and staff. All the service users spoken with said that they liked living at the home. No one is admitted to the home without a full care needs assessment to ensure the home can meet their care needs. Prospective service users are provided with good information about life at the home and they are able to visit the home and meet with the resident service users and staff before making a decision about taking a place there. The service users spoken with all felt that they were involved in their care planning and all aspects of life at the home. They said that they were able to make decisions for themselves and received good support from staff to help them maintain independent lifestyles. All the service users, with support from staff, attend college sessions. Subjects taken varied depending on the preference of the service users and included cookery, computers and drama. The service users said that they enjoyed a range of leisure activities including swimming, dancing and trips to shops and places of interest. Service users were involved in deciding the menus for meals and said that they enjoyed shopping for the groceries and helping prepare the meals. The service users said that they were treated with respect at all times and that staff were friendly and supportive. The health and safety of service users is protected by staff adhering to the home’s clear procedures for dealing with medication. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 6 The three service users spoken with said that they knew about the home’s procedures for handling complaints but said that usually any concerns were discussed with the registered manager and any actions required were taken quickly to resolve the issues. The service users said that they felt able to talk with staff about ‘anything’. The home has procedures in place for the prevention of abuse and staff spoken with were aware of the procedures to take should abuse be suspected. The three service users all said that they felt safe living at the home. The service users said that they liked their rooms, with one saying it was his ‘space’ and staff respected this. Many personal items including televisions, music systems, posters and pictures were seen in the rooms. Service users said that they had been involved in choosing the colours for redecoration of their rooms and as a group had chosen furniture for the lounge and conservatory. Service users said that they felt there were enough staff members on duty for each shift and the registered manager said that staffing levels were flexible to allow service users to participate in leisure activities. Records seen indicated that robust procedures were used for the recruitment of staff which protected the safety of the service users. Service users said that applicants for positions were asked to spend time at the home to give the them an opportunity to meet them and they were then able to give their opinion as to whether they felt the applicants would ‘fit’ into life at the home. Staff spoken with said that they received encouragement and support from the registered manager to attend training sessions. Staff also said that they received regular supervision and records seen confirmed supervision sessions had taken place. What has improved since the last inspection? At the last inspection care plans seen did not clearly indicate in what way service user’s behaviour might be challenging. Care plans seen during this inspection provided these details and strategies for staff to follow if challenging behaviour happened. Risk assessments seen at the last inspection had not been reviewed as necessary to minimise the risks to the service users. Assessments seen at this inspection had been kept under review and the registered manager was aware that further assessments were required with regard to service users using the hot water in bathrooms and working alone on the computer in the building in the garden. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 7 The home’s policies and procedures had been reviewed by the registered manager to ensure that staff were provided with up to date information. During a tour of the home at the last inspection, a self- closing device on a fire door did not work properly. This has since been repaired. 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. The summary of this inspection report can be made available in other formats on request. Wendorian DS0000060604.V316634.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 Wendorian DS0000060604.V316634.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 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with clear information about life at the home, including a written contract and are able to visit before making a decision. Prospective service users have their care needs assessed before a place is offered to ensure the home can meet their needs and aspirations. EVIDENCE: The service users spoken with said that they had each received a copy of the home’s Statement of Purpose and Service User Guide. The documents were also available in the hallway of the home. They gave clear information about life at the home and had been updated in August 2006 to reflect the change in registered manager for the home. The service users said that they found the documents easy to understand. A copy of a contract giving the terms and conditions for living at the home and the last inspection report were included in the document pack. The fees for the home were not included in the information. The registered manager said that this varied from person to person. The contract did state what services were included in the fees and what was available at an additional cost such as toiletries, hairdressing and holidays. Service users also contribute Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 10 £10 per month towards transport costs. The service users spoken with said that they were happy to pay this cost and all used the transport during the month. The service users knew that there were costs for staying at the home but said they were not involved in paying the fees and felt they did not need to know how much they actually paid. Each service user had a signed contract in their files but the cost for residency had not been completed. The registered manager said that each service user was sent a letter from the organisation’s headquarters giving the actual costs. These letters were not available at the home but were kept at the headquarters. The service users described the process of assessment and visiting the home prior to moving in to the inspector. Each service user had visited the home a number of times before taking a place there, starting with short visits, then all day visits and finally staying overnight. All said they felt it had been a good way of getting to know the home, other service users and staff. The registered manager said that the home’s manager and the service manager undertook pre admission assessments, with input from health professionals and support workers currently supporting the person, as required. Pre admission assessments seen for the three service users indicated that all aspects of care needs had been assessed. Wendorian DS0000060604.V316634.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in their care planning and feel the plans in place reflect their personal goals and changing needs. Service users are supported to make decisions about their lives, to take risks as part of an independent lifestyle and feel they are consulted on and participate in all aspects of life at the home. Service users know that information about them is kept confidential. EVIDENCE: Each of the three service users discussed their individual care plans with the inspector. All had been involved in their care planning and said that their wishes were reflected in the plans. One service user had written most of his own plans during reviews with his support worker. Two of the care plans had been reviewed monthly and one had been reviewed regularly until July but had not been signed as being reviewed since. The service user said that the plans provided current information on his care needs. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 12 The registered manager said that she would ensure that the care plans were reviewed monthly or more frequently if necessary. It was evident during the visit that the service users were supported to make decisions about their lives. The registered manager spent time explaining the consequences to one service user, who wished to spend some of his money that day while out shopping, instead of waiting until the weekend, as he had originally planned to do. The service user discussed the issue and then made the decision to use the money and arranged for other in house activities for the weekend. The service users said that discussions took place to decide all aspects of life at the home such as menu planning, house chores rota, social activities and the recruitment of new staff. Risk assessments were contained in the service users plans for daily living and leisure activities. Risk assessments for aggression and challenging behaviour indicated the signs that might lead up to challenging behaviour and the actions to take to reduce the risk of this happening. The risk assessments also gave details of what form the challenging behaviour might take. The risk assessments seen had been reviewed regularly. The home has a policy in place for confidentiality. A staff member said that any information given to them would be kept confidential unless it was in the service user’s best interests to share the information with their manager. A service user said that he felt staff would keep anything he told them confidential but understood that this sometimes needed to be shared with the manager. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 13 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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel they have opportunities for personal development and enjoy suitable leisure activities, feel part of the local community, have personal and family relationships and feel their rights are respected. Service users are supported to choose a healthy diet and prepare meals, which they enjoy. EVIDENCE: All of the service users attend college sessions. The service users spoken with said that they took subjects that they were interested in such as cookery, drama, dancing and computer studies. The service users showed the inspector their bus passes that they use for frequent travel by public transport. The registered manager said that currently staff go with service users when they use buses but this will lessen as the service users become more independent. The service users said that they Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 14 understood they required support for some activities, including using transport and shopping. The service users said that they visited the local shops frequently and on the day of the visit two were going shopping with support workers after lunch. The service users had many personal items in their rooms including televisions and music centres. One service user said that they liked films, pictures and ornaments about Egypt and this was reflected in their choice of items for their room. The service user said that they frequently visited the local library to get books on Egypt. One service user said that they were hoping to go on holiday with a relative over the Christmas period and another chatted about the holiday he had taken with a support worker earlier in the year. Records seen indicated that the service users participated in a wide range of activities including swimming, using a trampoline and trips out to local places of interest. One service user said that he enjoyed learning to dance at a local day centre and was due to receive a fourth rosette for Latin American dance later in the week. The service user also said he was interested in helping at an animal shelter and that staff were helping him to investigate the possibility of this happening. Two of the service users spoke about their friendships with their girlfriends. The service users said that they were able to chat to staff about their girlfriends. The registered manager said that staff were kept aware of the friendships and knew when the service users were due to meet or receive telephone calls. The service users met with their girlfriends at day centres and one of the girls had visited the home. The service users said that the friendships had been discussed with their relatives. Service users had put notices on their bedroom doors asking for people to knock before entering. A service user said that staff always knocked and waited before entering his room and that he felt it was his ‘space’. During the visit the service users attended to household chores. A rota had been arranged with staff and the service users and the service users said they felt it was fair for them to help with the work. The service users said that they chose the meals for the menus and they went shopping for the groceries with the support workers. They all said that they liked to help prepare the meals and that they could make a ‘really good Spaghetti Bolognese’. One service user’s records indicated that they had frequently ordered take away meals and following discussions with staff it had been agreed that take away meals would only be ordered on arranged days. Records seen indicated that service users weight was monitored regularly and actions taken as necessary to address any undue weight loss or gain. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 15 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users physical and emotional health needs are being met and they feel they are receiving personal support in their preferred manner. Service users are protected by staff adhering to the home’s clear procedures for dealing with medicines. EVIDENCE: The three service users spoken with said that they were able to choose what time they got up, depending on the day’s activities, such as college attendance, and went to bed. All said that they were able to make decisions for themselves about participating in daily living activities such as washing and dressing. The care plans seen indicated that the service users were requiring less prompting to attend to personal hygiene and the service users agreed with this. One service user said that although he was improving he still sometimes required prompting to clean his teeth and shave. Care plans seen indicated that service users received support to access the services of the multi disciplinary health team, which included a psychologist, community psychiatric nurse and psychiatrist. The service users said that they Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 16 attend appointments at GP surgeries, dentists and opticians as necessary. Records seen indicated that they also attended the ‘well man’ clinic for check ups. One of the service users said that they were weighed regularly to monitor any significant weight gain or loss. None of the service users were currently responsible for their own medication, but their medication was kept in a locked wall container in their rooms and they said that they felt involved with the administration of their medicines. The home has procedures in place for the safe handling of medicines including the recording medicines brought into the home and the disposal of unwanted medication. The registered manager showed the inspector training records for staff who had received training in the safe handling of medication at a local college. Records seen had been completed appropriately. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users views are listened to and acted upon and they feel safe living at the home. EVIDENCE: The three service users spoken with were aware of the home’s procedures for complaints. All said that they would discuss any issues with the registered manager, who they felt would taken action as required to resolve the matter. Records seen indicated that the service users felt able to voice any concerns and that staff had investigated and acted quickly. One service user said that nine times out of ten there was no need to make a complaint as any issues were resolved through general discussions with service users and staff. The home has procedures in place for the prevention of abuse including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing. Records seen indicated that staff had received training in abuse awareness and the registered manager and a support worker spoken with, were aware of the procedures to follow should abuse be suspected. The service users said that they felt safe living at the home and being supported by the staff. The home keeps small amounts of money for service users. The money is stored securely and records are kept for all transactions. During the visit the Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 18 registered manager discussed with a service user the options for using his money. When money from the service user’s container was removed and given to the service user, he signed the records with the staff member to confirm the money had been given to him and the amount remaining was correct. One service user has a building society account and the book is kept in his container. The registered manager said that only she is able to access the service users monies. If she is not on duty staff are able to provide small sums of money for emergencies from the petty cash. The registered manager said that the service users are aware that she holds the keys for the money and usually ask for funds, if they wish them, on the day before she is off duty. A service user confirmed that he knew when the registered manager was off duty and said that he was aware that it was not possible to get money out of his container then. He said he was quite happy with the system. Wendorian DS0000060604.V316634.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Wendorain provides a clean and homely environment for all who live, visit and work there. EVIDENCE: Wendorian is a detached house situated in a residential cul de sac in Marchwood, Hampshire. The home is similar to other houses in the road. Parking is available on the driveway at the front of the home for two or three vehicles. The home has a rear garden that has an area of lawn and a garden shed. The service users said that the shed was used as a computer room. The registered manager said that she was in the process of completing a risk assessment for service users working alone on the computer in the shed. The three service users each showed the inspector their own rooms and all joined in with a tour of the communal areas. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 20 Each service user has a single room, one of which has an en-suite. Service users liked their rooms and had personalised them with items such as pictures, televisions and music systems. All said they had chosen the colour for the décor of their rooms and the furniture, bed linen and curtains. The home also has an L shaped lounge with dining area, conservatory and kitchen. Service users said that they had chosen furniture for the lounge and conservatory. The home including the kitchen, which is domestic in style, and the bathroom and shower rooms looked clean. A room on the first floor provides space for a staff office and there is also a bedroom available for the ‘sleep in’ staff member. Visitors to the home are asked to complete the visitor’s record book when entering and leaving the home. Wendorian DS0000060604.V316634.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 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s robust procedures for recruiting staff and they are supported by an effective staff team. EVIDENCE: The registered manager said that one senior support worker and eight support workers were employed at the home, plus a team of bank staff who regularly covered shifts. The home has a vacancy for a second senior support worker. Two support workers were on duty for each shift. At night one support worker worked a ‘wake’ night and the other a ‘sleep’ night. The registered manager said that when she was not on duty there was always a manager on call. The service users spoken with and staff all said that they felt there were sufficient staff on duty at all times. The registered manager said that staffing levels were flexible to allow for service users to participate in leisure activities. One support worker holds NVQ level 3 and another in the process of obtaining level 2. Another support worker is also due to commence training for level 2 in February 2007. The registered manager was aware that the requirement was for at least fifty percent of care staff to hold or be in the process of obtaining Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 22 the qualifications. The registered manager said that one support worker who was due to commence training had recently left the home and another was on maternity leave. It was hoped that a new staff member being recruited would be able to take the place on the course now available. The home has clear procedures for the recruitment of staff. Records seen for three staff members indicated that all the information required had been obtained and that Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks were completed before staff commenced work at the home. The home was in the process of recruiting another support worker. The service users said that the applicant had visited the home to spend time and chat with them. All said that they liked to be involved in the recruitment of new staff and had been able to give their views on whether the person would ‘fit in’ with the home. The service users had also given the registered manager a list of questions to be used during the interview of the applicant. The registered manager said that the organisation was looking at involving service users in the interview process. Two support workers spoken with said that they felt supported and encouraged by the registered manager, to attend training courses and gain qualifications. Training records seen indicated that seven of the nine care staff had received training in understanding aggression and violence but two of these were recorded as theory and did not confirm that staff had received training in the practical use of restraint. The registered manager said that she would look at the training received and ensure staff had training in the practical use of restraint if required. A staff member said that they received regular supervision. They said that the supervision meeting was agreed and that all aspects of care work were discussed including their performance, training requirements and any issues regarding the service users. Records seen confirmed the supervision meetings were taking place. Staff were given a copy of the minutes taken during the meetings. The registered manager said that she had received training in providing supervision. Wendorian DS0000060604.V316634.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, 38, 39, 40 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the service users and the safe working practices operated in the home protects and promotes their health and safety. EVIDENCE: The registered manager, Lisa Smith, holds a BA (Hons) in Social and Professional Studies for Learning Disabilities, and the Registered Managers Award. Mrs Smith has thirteen years experience in working with people with learning disabilities and registered with the commission as manager of the home in July 2006. It was evident during the visit that Mrs Smith had a good rapport with the service users and staff. The service users said that they could talk with her easily and staff said that they felt supported by her. Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 24 The registered manager said that the service manager visits unannounced and conducts an inspection of the home on a monthly basis. Two directors for the organisation had visited earlier in the year to obtain information on the quality of the care provided. The registered manager said that this information was used in the development plan for the home, which included three monthly reviews, looking at separate aspects of care provision. The service users said that they felt very involved in the review of care process undertaken at the home and had the opportunity to voice their opinions during service user meetings and in an informal manner on a daily basis. The registered manager said that staff meetings were arranged for the day after the service user meetings so that topics could be discussed and feed back given quickly to the service users. The registered manager said that she had reviewed all the home’s policies and procedures in September 2006. A staff member spoken with said that the procedures were always available for staff and that staff read and discussed the documents during induction. The home has information on health and safety available for staff. Records seen indicated that the hot water temperature was monitored daily and that maintenance and servicing of utilities was undertaken regularly. One service user said that the hot water was very hot at times but that they were all aware of this and took care when using it. This was discussed with the registered manager who said that individual risk assessments would be completed for service users using the hot water. The home had a fire risk assessment in place and records seen indicated that staff had attended fire safety training. Records were kept of fire drills but these did not indicate which staff members had attended. The registered manager said that staff attendance would be recorded to ensure all staff had attended fire drills during the year so that the safety of the service users was protected. During the visit staff were seen to operate safe working practices. Service users who smoked were able to do so in a smoking area outside the home. Each service user had a lighter but said that the lighters were to be given to staff for safe keeping at night. All the service users said that they agreed to do this system. Wendorian DS0000060604.V316634.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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 2 33 3 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 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 4 3 x 3 x Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations Wendorian DS0000060604.V316634.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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