Inspection on 09/09/08 for Wentworth View

This inspection was carried out on 9th September 2008.

CSCI found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wentworth View 22/09/09

Wentworth View 14/09/06

Wentworth View 16/02/06

Wentworth View 11/10/05

Wentworth View 11/01/05

Wentworth View 29/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

CARE HOME ADULTS 18-65 Wentworth View 15 Brampton Road Wath Upon Dearne Rotherham South Yorkshire S63 6AN Lead Inspector Sarah Powell Key Unannounced Inspection 9th September 2008 09:50 Wentworth View DS0000003138.V371816.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 Wentworth View DS0000003138.V371816.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. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wentworth View Address 15 Brampton Road Wath Upon Dearne Rotherham South Yorkshire S63 6AN 01709 871116 NONE wentworth.view@craegmoor.co.uk www.craegmoor.co.uk Sapphire Care Services Limited 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) Pamela Harriet Cole Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: 2. Learning Disability, Code LD The maximum number of service users who can be accommodated is: 4 14th September 2006 Date of last inspection Brief Description of the Service: Wentworth View is a care home for younger adults with a learning disability. The home is registered for four people. The home is situated in a large village close to Rotherham. There are local facilities including shops and churches. It is a detached house with a comfortable and homely feel; there is a kitchen dining room, a large lounge and a conservatory. Four single bedrooms two with en-suite facilities and a communal bathroom. The garden is small but well maintained and meets people’s needs. The fees at Wentworth View range from £1698.44 - £1727.50 per week. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. This was an unannounced key inspection and took place on 9th September 2008 at 09:50 and finished at 14:20. The visit included talking with 2 people living at the home, the manager and 3 staff. We looked around the house to gain an overview of the facilities and we checked a number of records. Some surveys forms were sent to people who live at the home, the manager had asked their relatives to complete the forms however at the time of this visit none were completed and returned to the Commission. At the time of the visit an annual quality assurance assessment (AQAA) had not been returned, however this was requested at the visit and the manager has since completed this and returned it to us. This focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. What the service does well: What has improved since the last inspection? People had a person centred plan, which has been developed with their involvement, and their relatives to ensure their needs and choices were met. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 6 The manager was also implementing health action plans for all people, which would ensure all health care needs were identified and could be met. The environmental standards continue to improve, and many rooms have been redecorated. A conservatory had been added to provide additional communal space to ensure people’s needs were met. 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. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 People who use the service experience Excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Information is provided for people to make an informed choice about where to live. The assessments clearly identified people’s needs to be able to determine if they could be met. EVIDENCE: The statement of purpose and service user guide was accessible to all people. An easy read format had been developed to ensure perspective service users could understand the information, and make an informed choice. All people had a full assessment of needs in their plans of care, which were comprehensive and clearly detailed the needs of the person to ensure the home could meet these needs. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Each person in the home had a plan of care with clearly identified needs, these were met, and people were treated with respect, were able to make decisions about their lives and take risks as part of an independent lifestyle. EVIDENCE: One plan of care was looked at in detail to determine the person’s needs had been assessed and met. The care plan was comprehensive, had identified all the persons needs and how to meet them. A person centred plan was also completed, which showed clearly that the person and their relatives had been involved. These ensured their choices and needs were identified and could be met. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 10 Health action plans were being implemented to ensure all health care needs were identified and could be met. It was evident from talking to staff that people are able to make decisions, are given choices and are able to take reasonable risk as part of an independent lifestyle. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People exercised choice and control over their daily lives and activities ensuring their needs were met. EVIDENCE: The activity programme had changed in June 2008, the day centre had closed and activities had to be provided by staff at the home. In consultation with the people and their relatives the manger and staff had developed a new programme for each person to ensure their needs were met. Additional staff had been recruited to provide the activities and the manager told us, “It is working very well the people seem much happier with the new arrangements”. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 12 The activity programme showed there was choice and flexibility. That people participated in the local community as much as they were able and were well supported by staff. Activities included bowling, swimming, picnics, walking, meals out and going to the local pub. Staff supported the people to have relationships with family and friends; all the people had regular contact with family. Staff spoken to were aware that relationships had to be appropriate to protect people. As they were not always able to make informed decisions, due to their learning disabilities. People were offered a healthy diet they often did the shopping with a support worker and helped prepare meals. Staff said all people enjoy their meals and mealtimes. The people will also frequently eat out, particularly if they are doing an activity. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s health care needs were met and they were supported in the way they preferred. Medication procedures protected people. EVIDENCE: People who live at Wentworth View were able to maintain their own personal care with support from the staff, this was documented in the plans of care. People were also able within their capabilities, to choose their own clothes and hairstyles to reflect their personality and people were dressed appropriately for their age. Health care needs of people were maintained; with health action plans being implemented to further improve this. All people were registered with a GP, access local dentists, chiropodists and opticians. They also receive an annual health check from their GP’s this was all documented in the care plans. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 14 Medication polices and procedures in the home were very good all medication was documented on arrival, was documented when administered and disposed of. Medication was appropriately stored. All staff that administers medication had the accredited medication training to protect service users. However some administration records for creams, had an “x” marked at the time of administration, but there was no explanation why. The manager told us it meant it was not applied; this was discussed with the manager who realised staff should always record why prescribed creams were not given. She told us that it would be rectified immediately. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who lived in the home were listened to and protected. EVIDENCE: There was a clear and effective complaints procedure, which included set timescales. The complaints procedure also states that the CSCI can be contacted at any time. The home had received no complaints since the last inspection. The home has a good safeguarding policy, which clearly defined different types of abuse, and staff were aware of different types of abuse and they were also aware of the importance of whistle blowing. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standard of cleanliness was good and environmental standards had improved to provide a homely, comfortable environment for the people that lived there. EVIDENCE: The standard of cleanliness throughout the home was good and all routine maintenance was carried out. Since the last inspection most rooms had been redecorated and a fourth bedroom had been registered to provide accommodation for a fourth person. A new conservatory had been added to provide the additional communal space required for the new person when they moved into Wentworth view. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff training was up to date. Recruitment procedures were robust protecting people who lived at the home. EVIDENCE: A selection of staff training files were seen records were good and all training had been carried out to ensure peoples needs are met. A selection of staff personnel files were looked at, they contained all the required information and checks to ensure people were protected. The manager had recently recruited three new staff, all intended to commence NVQ level 2 following completing of their induction. The four other staff had all achieved NVQ level 2, therefore over 50 of staff were trained to NVQ level 2, ensuring staff are appropriately trained to meet peoples needs. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 18 The staffing levels met people’s needs, all people were one to one care and the staffing rota confirmed this was maintained. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Management and administration safeguards people, good health and safety policies and procedures were in place ensuring the safety of people in the home. EVIDENCE: The registered manager is competent and qualified to run the home, she had completed her Registered Managers Award. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 20 There was a got good quality monitoring system in place based on seeking people’s views. Regulation 26 visits were carried out to ensure people’s views underpin development in the home. There was a good health and safety policy and all staff had received an update in health and safety training to ensure the safety of people. The maintenance records for electrical safety, Portable appliance testing, legionella, fire checks, water temperatures and safe environment including equipment and machinery were all available at the time of the visit and up to date ensuring peoples safety. Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 21 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 4 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 X 4 X 4 X X 3 X Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 Requirement All staff authorised to handle and administer medication must follow the home’s procedures for medication administration and record keeping ensuring medicines are always given as prescribed. Timescale for action 01/11/08 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 Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Wentworth View DS0000003138.V371816.R01.S.doc Version 5.2 Page 24 - 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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