Inspection on 25/07/07 for Wilmott`s View

This inspection was carried out on 25th July 2007.

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

The inspector 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

Wilmott`s View 15/07/09

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Wilmott`s View 54 Wellingborough Road Rushden Northants NN10 9YN Lead Inspector Gary Robinson Unannounced Inspection 25th July 2007 10:00 Wilmott`s View DS0000069494.V341271.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 Wilmott`s View DS0000069494.V341271.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. Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wilmott`s View Address 54 Wellingborough Road Rushden Northants NN10 9YN 01604 475333 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) mina.d.msaada@hotmail.co.uk/minadoran@hot mail.co.uk Msaada Care Limited (01604 475333) Wilmott’s View (01933 350911) Name of registered manager (if applicable) Mrs Wilhelmina Mary Doran Type of registration Care Home Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 4 No. of places registered (if applicable) 7 Category(ies) of Learning disability (7) registration, with number of places Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 5 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No person under the age of 18 years who falls within the category LD may be admitted to Wilmott’s view. No person over the age of 65 years who falls within the category LD may be admitted to Wilmott’s View. No one falling within the category of LD may be admitted to Wilmott’s View when there are 7 persons of category LD already accommodated within the home. The maximum number of persons accommodated within Wilmott’s View is 7. This is the first Key Inspection since change of ownership. Date of last inspection Brief Description of the Service: Wilmott’s Lodge is a home now owned by Msaada Care Ltd and provides personal care support for up to seven adults with learning disabilities. The property, in the style of large family house, is located on a residential street leading into Rushden town centre and provides seven en-suite bedrooms for service users. Access to the first floor bedrooms is restricted to service users who are physically able to manage stairs. There is a small but attractive garden area to the rear of the building. A communal lounge is situated on the ground floor and there is a kitchen-diner to the rear of the building. Fees range from £1000 a week depending upon the agreed level of care and support to be provided for the service user who is to be accommodated. Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This is the first inspection of Wilmott’s View since the ownership and management of the home changed in early 2007. The initial visit of this inspection was unannounced and a second arranged visit was conducted in the late afternoon of the following day to meet with the two service users individually, and in private, after they had returned home from their activities in the community. Wilmott’s View was inspected using the method of ‘case tracking’. This is a process that involves inspecting the standard of care received by the two service users currently in residence, inspecting the records relating to their support and care, and subsequently meeting with them to hear their views. There were also meetings with a recently appointed care worker employed to provide support to the two service users, as well as with the newly appointed Manager of Wilmott’s View. These meetings were used to discuss staff roles in providing support and care, training, and the day-to-day running of the home. The two service users were also able to complete a picture style questionnaire, which enabled them to answer questions relating to what they think about their care at Wilmott’s View. There was also a tour of the house and, by agreement, the two bedrooms occupied by the service users were viewed. These findings are incorporated into this report. No requirements were made on this inspection. What the service does well: What has improved since the last inspection? What they could do better: There were no significant areas of current practice that could be highlighted as requiring further improvement in order to meet required standards. Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wilmott`s View DS0000069494.V341271.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 Wilmott`s View DS0000069494.V341271.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): Standards 1,2 Quality in this outcome area is good. Prospective service users will be provided with the information they need to make a choice about whether Wilmott’s view will suit them and they can be confident the staff will understand their needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two service users currently in residence at Wilmott’s View have lived there a number of years, prior to the home being registered in 2007 under new ownership and with a new Manager in post. Evidence to support the above outcome arises, in part, from the policies and procedures developed and put in place by the Manager with regard to the process to be followed before a new service user comes to live at Wilmott’s View. There is documentary evidence all prospective new service users will have comprehensive information about Wilmott’s View. The Manager confirmed that all prospective new service users would be encouraged and enabled to visit Wilmott’s View and meet with staff and the service users already living there before any decision is made. Overnight stays will also be included in the admission process. Any decision to accept a new service user will be conditional upon a full assessment of need and there is evidence that the documents recording such information are in place. The Manager and staff are also clear that the views of existing service users will also be considered and Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 10 there are regular service user meetings held at Wilmot’s View so that ongoing issues that may affect them individually can be aired and discussed. Wilmott`s View DS0000069494.V341271.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): Standard 6,7,9 Quality in this outcome area is good. Service users can be confident that the staff will be able to consistently provide the information and support they need to enable them to take control of their own lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has contributed to their individual plan of care and they said they were happy with their lifestyle at Wilmott’s View. There is evidence that the Manager and staff are actively encouraging the service users to try new experiences and develop new interests. There is documentary evidence that the changing needs of the service users are accurately reflected in the records relating to the level of support being provided. Both service users were able to confirm that they are involved in making decisions about what happens in the home, for example, changing their mind about meals and choosing something different, or making a choice about their Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 12 social activities. The Manager and staff encourage the service users to participate in the day to day running of Wilmott’s View. After enjoying their evening meal the service users were observed to help clear away and it was evident that they were involved in these tasks because it was what they wanted to do. One service user who said she would like to move into a different bedroom was able to choose another room and change her furniture to suit her. Instead of having a hairdresser coming to Wilmott’s View, as was previous practice, the Manager and staff have enabled the service users to make choices about visiting a hairdresser in the community. Both service users indicated in their completed questionnaires that they are involved in decision making, that there are good activities, the food is good, and that they feel safe. Wilmott`s View DS0000069494.V341271.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): Standard 12,13,14,15,16,17 Quality in this outcome area is good. Service users are enabled to maintain appropriate and fulfilling lifestyles in and outside of Wilmott’s View. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user’s interests are taken into account when activities and community outings are organised. They are encouraged to use local amenities such as the Library and one service user likes to attend church. Both service users are members of the local Gateway Club. Friends are made welcome at Wilmott’s View and the Manager has encouraged the service users to discuss who they might like to invite. Mealtimes are seen as a social occasion to be enjoyed and whilst the service users are involved in menu planning and shopping, there is freedom to choose and shop for an alternative meal if the service users change their mind and no longer want what is on the menu. Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 14 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): Standard 18,19,20 Quality in this outcome area is good. Personal support is flexible and staff respond appropriately to the changing needs of each service user. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each plan of care is regularly reviewed and there is documentary evidence of this. There is a health plan in place for each service user and arrangements are made for regular healthcare check-ups. The Manager is currently reviewing and updating all existing policies and procedures relating to medication and supporting service users who wish to self-medicate. Routines for bathing, retiring to bed, and other personal activities are flexible. Each service user is encouraged and enabled to look after their personal appearance and choose what they like to wear. Privacy is respected, with each service user having en-suite facilities in their bedroom, and key to their own bedroom door. Wilmott`s View DS0000069494.V341271.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): Standard 22,23 Quality in this outcome area is good. Service users can be confident that they will be listened to and taken seriously if they have concerns or worries. The Manager ensures that there is the appropriate training and guidance for staff that enables them to help protect service users from the risk of harm or abuse of their rights. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are regular one to one meetings with service users where they are encouraged to speak up if they are unhappy. There are policies and procedures in place governing the protection of vulnerable adults and each staff member is required to adhere to these. All members of staff have completed their Protection of Vulnerable Adults (POVA) training. Recruitment of staff is governed by robust procedures to ensure that all appropriate precautionary checks are conducted prior to them working with service users. There is documentary evidence that Criminal Record Bureau clearances have been taken up for each member of staff. Services users appear relaxed in the company of staff and seem confident and able to talk to them about all aspects of their care and support. When asked, each service user confirmed they felt safe at Wilmott’s View. Wilmott`s View DS0000069494.V341271.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): Standard 24,30 Quality in this outcome area is good. Wilmott’s View is a comfortable, clean, and well-appointed house that is homely and welcoming. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Wilmott’s View is situated in a residential street close to the town centre. The interior of the house is furnished to a very good standard throughout. All communal areas were seen to be clean and in a good state of repair. There were no unpleasant odours in the house. Bedrooms are personalised with each service user’s belongings and personal preferences. Service users are encouraged to use the house as a family home. Wilmott`s View DS0000069494.V341271.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): Standard 32,34,35 Quality in this outcome area is good. Staff appear competent, motivated, and respect the service users they support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One newly appointed staff member confirmed that she has had a thorough induction and was able demonstrate a clear understanding of her role and what is expected of her. All staff have a qualification in care to at least National Vocational Qualification (NVQ) Level 2. It was evident from observation that staff listen to the service users and take an interest in them. Staff appear to know the likes and dislikes of the service users and to manage the manner in which they work with that person accordingly. The Manager will ensure each member of staff regularly receives one-to-one supervision so that service users can feel reassured that each staff member’s training needs and work performance is being regularly reviewed and monitored. There is documentary evidence that appropriate records will be kept of these supervisions. Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 18 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): Standard 37,39,42 Quality in this outcome area is good. Support for each service user is effectively managed and sensitively carried out with the result that the service users can rely upon staff to provide the level of support they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager appears to take an interest in looking for innovative ways to improve the quality of life enjoyed by the service users by enabling them to take up new challenges and to enhance their day-to-day social experiences by engaging in different activities. The Manager is currently undergoing further training to enhance her formal qualifications. There is an enthusiastic atmosphere within the home, which the Manager is actively promoting so that service users feel inspired to decide things for themselves and feel less restricted by perceived routines. Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 19 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 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 20 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. 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 Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Wilmott`s View DS0000069494.V341271.R01.S.doc Version 5.2 Page 22 - 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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