Inspection on 05/05/05 for Wendorian

This inspection was carried out on 5th May 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

Wendorian 28/11/06

Wendorian 02/12/05

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Dalewood Respite Care

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Treloar College

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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 Wendorian Cracknore Hard Lane Marchwood Southampton SO40 4UT Lead Inspector Wendy Thomas Unnannounced 05.05.04 11:00am 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 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 Stationary 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 H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wendorian Address Cracknore Hard Lane Marchwood Southampton Hampshire SO40 4UT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Wessex Regional Care Limited Mrs Charlotte Hemphill CRH 4 Category(ies) of Learning Disability - (LD) - 4 registration, with number of places Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Wendorian is a service for four clients who have learning disabilities and may also present behaviour that is challenging to service providers. It is situatied in Marchwood a short distance from local shops and a within easy walking distance from the Solent. The home was registered in October 2004 with the first clients coming to live in the home in December 2004. Wendorian is part of Wessex Regional Care who have two other homes in the Hampshire area. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The people living in the home wished that the inspector refer to them as clients when writing this report. This term is therefore used throughout the report. During the inspection the inspector spent time with three of the four clients, spoke with three staff members and the manager, and sat in on part of a staff meeting. One of the clients gave the inspector a tour of the house and garden. The inspector looked at three clients’ files with two of the clients explaining theirs to her. The inspector joined the clients for lunch and was able to observe their interaction with staff both then and throughout the inspection. The inspector spent some time with the manager who was able to answer questions and discuss future plans and developments for the home. Two members of staff also had full discussions with the inspector, and another brief chats. The inspection lasted eight hours. What the service does well: The empowering ethos of the home comes across in talking with the manager, clients and individual members of staff. Clients described positive differences between Wendorian and previous experiences of residential care. The clients are encouraged to make decisions relating to themselves and the running of the home. Clients meetings are held fortnightly. The clients are well matched and are happy living together. The clients occupy their time in a variety of ways some having one-to-one support with staff to use local facilities such as snooker club, local shops, pubs and library or to go swimming or dancing. Others attend external day services. They also help with the chores of running a house and garden. The clients are involved in developing any plans and programmes that they are following with help from their key-workers. The specialist healthcare team are involved where clients have additional healthcare, psychological or behavioural needs. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Clients’ introduction to the home is well thought out and planned. More thorough documentation about clients needs prior to admission would aid in assessing whether the home is suitable for that person, and that they are compatible with the other clients. EVIDENCE: Three clients and the manager told the inspector how the clients came to live at the home. This involved being given information about the home and making a number of visits the other clients. Two of the home’s pre-admission assessments were seen. For one client most of this had been completed and provided useful information. The other was not comprehensively completed. Given the complexity of some clients’ needs the importance of full and detailed assessment was discussed, especially in relation to providing an offer, or otherwise, of a place in the home in the knowledge that the home could successfully meet the client’s needs. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9. Client’s autonomy and rights to make decisions about their own lives were being supported, whilst maintaining a safe environment for all through appropriate guidelines. Given the potential for challenging situations some service user plans do not give sufficient information about triggers and strategies for these to be approached in a consistent way. EVIDENCE: The clients have a file in their rooms containing information about themselves and brief details of the support they would like. One client showed theirs to the inspector. The inspector also looked at the more detailed service user plans with two of the clients explaining theirs to her. There were care plans for supporting areas of need and risk assessments where these were felt to be necessary. Both care plans and risk assessment would benefit from further development. Some information was missing. For example, triggers and strategies in relation to clients’ behaviour were referred to, but what these were was not Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 10 included. The manager stated that this work had been done but had not been transferred to the new format for care plans adopted throughout the company. Unfortunately it was now no longer available. The service user plans must meet the needs of the home and the individual clients and not the corporate identity if this is not in the best interests of the clients. In conjunction with the specialist healthcare team the clients were being reassessed every three months using a recognised psychological assessment tool. The manager reported that was very useful and clearly demonstrated areas where clients were developing and where more support may be needed. The clients have fortnightly house meetings where they said they could talk about anything they liked. The inspector witnessed clients being encouraged by staff to advocate for themselves and being encouraged to direct their own lives. For some clients this appeared to be a new experience so staff were in the process of supporting the development of these skills. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17. Clients participate in a range of activities and opportunities that are culturally and age appropriate. They use local facilities and amenities. The ethos of the service respects clients’ rights and supports them in developing the skills to become the people they want to be. EVIDENCE: A range of opportunities is available for clients including day services outside of Wessex Regional Care, employment, and activities arranged by the home. There was praise from both clients and staff for a dancing session in Southampton that is attended once a week. Clients also went swimming, shopping, to the pub, to the snooker club, for walks, to the library, and helped in the home with tasks such as cleaning, gardening, laundry, ironing, helping prepare and clear up after meals. The three clients the inspector spoke with about this all said they would like to go out more. Records indicated that this was a justified request, however the Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 12 manager’s view was that activities were being under recorded. There is a need to develop monitoring systems to get a true picture of how clients are spending their time. Staff are striving to maintain links with clients’ families and friends where the clients want this. Work around relationships is being addressed as the need arises. Where appropriate there is support from the specialist healthcare team. The staff valued this. The manager explained that the relatively new staff team are developing their skills in being able to support clients in asserting their rights, and respecting clients’ decision making. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 The way that care plans were structured did not reflect the client centred ethos of the home. Clients with identified emotional and physical needs were receiving support from the appropriate healthcare services. EVIDENCE: A client was able to explain his care plans to the inspector and was clearly satisfied with what they contained and was happy with the support he was getting. Staff and clients were able to show that clients had been involved in their care plans. The format being used however did not follow through this level of client centeredness. These are clients who can clearly articulate how they would like their care to be provided, but the care plans were written from a staff perspective. This is an area that could be developed further. Those clients who have emotional healthcare needs receive support from the psychology services provided by the specialist healthcare team. There is documentary evidence of this ongoing input in client’s files. Physical healthcare needs are also being addressed and one client had just received a hospital appointment in relation to this. In some instances communication Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 14 may also be an issue and the manager and key-workers were looking at how to support staff and clients to come to a better understanding of each other. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 15 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 standard(s) 22 and 23. The enabling ethos of the home means that clients are encouraged to voice their opinions on all matters in the home. Procedures in the home protect clients from financial exploitation by individual staff. EVIDENCE: A client who was asked about the complaints procedure was able to tell the inspector who within the company he would go to if the issue could not be sorted. It may be beneficial to go through the complaints procedure again with clients now that they have settled into the home to support them to consolidate some of the information they received when they first entered the home. The same client told the inspector that he had taken a concern to the manager and it had been satisfactorily resolved. Clients have support to manage their finances. They keep cash in locked tins and are supported to take out appropriate amounts as needed. One client checked his money in the presence of a member of staff and the inspector. It tallied with the recorded amount. There was a discussion about what items clients should be expected to provide for them selves and what the home should provide e.g. bed linen and furniture. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 16 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 standard(s) 24 and 30. Despite a reduction in communal space the clients were coping with the inconvenience of stalled building work in the home. Decorating some areas would enhance what, on the whole, is a homely and comfortable environment. The clients benefit from a clean home, which they assist in maintaining this way. EVIDENCE: The home is comfortably furnished, although a sofa in the lounge needed repairing or replacing. Although only recently opened as a residential care home, it was noticeable that some areas had not been redecorated prior to opening. On the landing there were marks where pictures had hung, with some hooks still in the wall. Along the stairs there were screw holes in the wall that had not been made good when a stair rail had been removed. This along with other minor issues was brought to the attention of the manager. The home has a large lounge/diner and a separate quiet/recreational area. The latter, however, is undergoing conversion to make a bedroom for a fifth client. The plan being to create additional quiet/recreational building in the garden. This, although only partially completed, is currently on hold. This Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 17 results in the clients being without a second communal room. Fortunately the clients are not finding this a significant inconvenience. However the matter should be resolved as soon as possible. Two of the clients showed the inspectors their bedrooms. They expressed their satisfaction with them and were happy with the way in which they had personalised them to their taste. Clients are encouraged to participate in keeping the home clean and hygienic. This was documented in their daily records and in discussion with the inspector. One of the clients is very keen in gardening and others are also interested. A small bed had been dug and seedlings were growing. However the grass was very long. Apparently a new mower had been ordered. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35. The clients benefit from an enthusiastic staff team. The identification and meeting of staff training needs will benefit the clients further by increasing the level of skill and competence of those supporting them. EVIDENCE: Two members of staff were asked about the training they had received. They were satisfied with what had been provided. There had been a two-day induction before the home opened and this had been followed by food hygiene and violence and aggression management, which had been found very helpful. They were still working through statutory training with health and safety and first aid coming up later in May. It was reported that the company was looking into how to support staff on NVQ training. It would appear that the enabling approach demonstrated towards clients is extended to staff with staff saying that they were supported to pursue training opportunities and to follow up on individual interests. The manager demonstrated a commitment to develop staff further and support them by providing further training opportunities. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42. Any health and safety issues are being addressed as they are identified, hence ensuring the safety of clients and staff. EVIDENCE: Health and safety issues are being addressed proactively and were discussed at the staff meeting held during the inspection. Issues were being identified throughout the team and either resolved in-house or taken to group health and safety meetings for the three Wessex Regional Care homes. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 2 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wendorian Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 21 NA 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 24 Regulation 23 Requirement The restoration of the lost communal space must proced without delay. Timescale for action Completion by 5 August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 2 12 Good Practice Recommendations More detailed information about clients should be gathered prior to admission. Develop monitoring systems to track opportunities and activities the clients take part in. Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 22 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Wendorian H54 S60604 Wendorian V224335 050505.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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