Inspection on 12/12/05 for Wheatsheaf House

This inspection was carried out on 12th December 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 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

Wheatsheaf House 07/01/09

Wheatsheaf House 20/02/07

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Wheatsheaf House 5 High Street Cottenham Cambridgeshire CB4 4SA Lead Inspector Mrs Jenny Cangy Unannounced Inspection 12th December 2005 11:30 Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 1 Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 2 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 Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 3 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. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Name of service Wheatsheaf House Address 5 High Street Cottenham Cambridgeshire CB4 4SA 01954 250799 01954 250799 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) CareTech Community Services (No.2) Ltd Mr Samuel James Gilchrist Care Home 10 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (1) of places Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 25/05/05 Brief Description of the Service: Situated at the end of the village of Cottenham, Wheatsheaf House is opposite the church, and within walking distance of the amenities, such as shops, pubs, and take-away restaurants etc. that this busy Fenland village has to offer. Cottenham is within fifteen miles of Cambridge, from where it is an hour’s train journey to London. The house consists of three single bedrooms and a bathroom on the first floor, and one double bedroom, one single bedroom and a shower room and toilet on the ground floor. There is a large lounge, dining room, kitchen and conservatory on the ground floor as well as a laundry, office and sleeping-in area. There are gardens to the front and rear of the house: access for wheelchairs is by a ramped entrance to the conservatory from the car parking space at the rear of the house. In addition there is an annex, consisting of three single bed-sit units, each with its own en-suite shower room and kitchenette at the rear of the home. A communal room with cooking facilities, and a laundry room, form part of the annex. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 11.30 am with the Manager of the home. The inspector met two staff members on duty and two service users who were at home. The manager and inspector reviewed the standards not inspected at the last inspection and those not fully met at the last inspection. The manager and inspector discussed an application to vary the conditions of registration toreflect the needs of the service users. As part of the process to ensure their needs can be met the staff have had additional training in dementia care and meeting the needs of people with challenging behaviour and the home also has increased the staffing levels to include one waking night staff for every night. Preparations for Christmas were evident in the home with cards and decorations displayed. It should be noted that since the last inspection the structure of Caretech, the proprietors, has changed and the company renamed Caretech Community Services (No 2) Ltd. This has made no change to the lives of the service users. What the service does well: What has improved since the last inspection? What they could do better: Currently the home meets all the needs of the service users and provides a stable homely environment for the people who live there. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 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. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 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 Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&5 Service users and their representatives have all the information needed to make informed choices about the place they live. All have written contracts of residence that clearly indicate the terms and conditions of living at Wheatsheaf House. EVIDENCE: The statement of purpose has been updated to include the change of name of the company to Caretech Community Services (no 2) Ltd. All service users have a copy of the statement of purpose and service user guide and a copy of the terms and conditions of residence. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8&9 Service users are able to take part in decision making and planning for all aspects of their lives enabling them to live full and enjoyable lives within a risk assessment framework. EVIDENCE: All aspects of service users lives are risk assessed to ensure they are able to live full and enjoyable lives with risks kept to the minimum. The manager stated that service users are able to participate in the day to day running of the home in the form of individual monthly talk time and regular house meetings. Meal times are also a forum for service users to chat about their day. Risk assessments are done to keep risk to a minimum but risk is seen as an acceptable part of daily living. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 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 the following standard(s): 12 , 14 & 16 All service users except one have daily activities outside the home and participate in appropriate work, education and leisure activities to ensure they live fulfilling lives. House routines are arranged to suit the service users. EVIDENCE: One service user no longer attends any formal daytime activities outside of the home due to his increasing physical and mental frailty. However staff ensure he is able to continue living as full a life as he is able by including him in their daily routines both in and out of the home. All the other service users attend daily activities and evening social activities appropriate to their needs, likes and ability. These include pubs, restaurants, cinema, concerts and any activities the staff or service users think they will enjoy. One service user needs to go to bed as soon as it is dark so has his main meal at lunch time to enable this to happen. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0 These standards were not inspected as the were met at the last inspection EVIDENCE: The manager and inspector discussed the changing physical health needs of one service user and the inspector was satisfied that theses standards continue to be met. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are kept safe from abuse, neglect and self harm to ensure they have comfortable and happy lives. EVIDENCE: All staff have had training in Protection Of Vulnerable Adults (POVA) and appropriate pre employment checks are made. The staff involve the Community Learning Disability specialist team to help and advise in any incidents of self harm. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26, 27 & 30 The standard in the home ensure the environment meets the needs of the service users and allows them to live comfortable lives in homely surrounding while maintaining their independence. EVIDENCE: The home is clean and fresh throughout. The décor is chosen with input from the service users and bedrooms are individualised. Service users preferences are paramount. One bedroom is undersize but the service user does not want to move and his wishes are respected. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 The staff team is sufficient to meet all the needs of the service users and training is given to enable staff to competently deliver a high level of support to the people who live in the home. EVIDENCE: There is an ongoing programme of training to NVQ level 2 and above however due to a recent high turnover of staff the home does not meet the standard of 50 of care staff qualified to this level It should be noted that the cause for the high staff turnover is now resolved All staff undergo a full induction training programme to ensure they understand and can meet the needs of the service users. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40,41 & 43 The management of the home is such as to ensure the ongoing wellbeing of the service users and the support of the staff providing care. EVIDENCE: The policies and procedures of the home ensure the service users rights are paramount. All records are kept as required and were available within the home. The manager ensures his staff are well supervised and the company’s management structure ensures the home manager is supported and supervised appropriately. Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 4 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wheatsheaf House Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X 3 3 X 3 DS0000065460.V260361.R01.S.doc Version 5.0 Page 18 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 YA32 Regulation 18 (1(c)) Requirement The registered person must ensure that appropriate training to at least NVQ level 2 in care is given to staff to ensure that a minimum of 50 of the staff team have or are working toward this qualification. Timescale for action 30/03/06 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 Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Wheatsheaf House DS0000065460.V260361.R01.S.doc Version 5.0 Page 20 - 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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