Inspection on 31/08/05 for Wingrove Road

This inspection was carried out on 31st August 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

Wingrove Road 25/06/07

Wingrove Road 04/01/06

Wingrove Road 08/11/04

Wingrove Road 14/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Wingrove Road 182 Wingrove Road Newcastle Upon Tyne NE4 9DB Lead Inspector Jim Lamb Unannounced 31 August 2005 11:00 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. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wingrove Road Address 182 Wingrove Road Newcastle Upon Tyne NE4 9DB 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) 0191 2738861 wingrove@stcuthbertscare.org.uk St Cuthberts Care Ms T Stout CRH 8 Category(ies) of LD Learning disability (8) registration, with number of places Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection Brief Description of the Service: Wingrove Road is a residential care home providing personal care and accommodation for 8 female service users with learning disabilities. The home is in a residential area close to local amenities. The home is on three floors and there is a passenger lift to all levels. There are a variety if aids and adaptations around the building to allow service users to move around more independently. All bedrooms are single, one has an en-suite facility. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced inspection visit. The inspection took place during the morning and mid-afternoon, time was spent with the manager, examining care records and policies and procedures. Time was spent talking to service users, staff and touring the building. What the service does well: 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. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 6 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 Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 7 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) 1 2 3 5 The homes statement of purpose and service users guide contains relevant information required by the standards, however it is recommended that following is included; fee’s charged, what they cover, and any costs for extra’s and produced in a range of formats such as video or audiotape. The service users needs are appropriately assessed. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required, apart from including fee’s charged, what they cover, and any costs for extra’s. The statement of purpose should be produced in a range of formats such as video or audiotape. The homes mission statement is available in a range of formats large print and pictorial. The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 8 Two service users’ files were checked and on each were a copy of a full needs assessment. These were carried out by appropriately trained people eg - the referring social worker and for those self-funding by the registered manager. They did contain a range of appropriate information and service users interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. The 2 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. Four residents interviewed said their needs were met and they were happy with the care offered to them. Two care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff had had a range of relevant training and experience. Admissions to the home are rare however; service users are invited to visit the home prior to admission to meet other service users and staff. Overnight stays can also be arranged. Unplanned admissions are avoided. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.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 8 9 10 The service users care plans clearly identify each individual’s personal and health care needs. Risk assessments were appropriately completed and service users are involved in this process. Self-advocacy is promoted. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 10 All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. Service users’ all indicated that they are able to make decisions for themselves and are involved in all aspects of community life. Detailed social care plans were evidenced. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.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 17 The links with the local community are good and these support service users social opportunities. The staff team have a very good understanding of the service users social and personal development needs. The meals offer a good choice and variety. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated every six months, all service users participate in this process, and their relatives are invited to attend. Validated intervention treatment programmes are accessed if a need does arise. Service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 12 and training. The staff team liaise closely with external agencies in order to monitor each service user progress. All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Service users are involved in housekeeping tasks. The staff were observed interacting in a sensitive and respectful manner with service users. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. One service user has a peg-feed; all staff has received the appropriate training necessary. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. The service users that I spoke with said that the food was very good. Several of the service users are involved with the food shopping. A range of special diets can be catered for and healthy eating is promoted. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.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 19 20 The service users have access to a range of health care professionals. The homes medication systems are well managed. The manager will require accredited medication training. EVIDENCE: An O/T has been consulted about the moving and handling needs of the service users and specialist equipment has been provided. The majority of service users mainly need supervision and minimum help with their personal care tasks, such as bathing and dressing. The service users confirmed that their privacy and dignity are respected at all times. There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 14 The inspector examined the records and the procedures for the administration of medication; these appeared to be appropriately detailed. The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well organised. The home manager requires accredited medication training. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.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 23 Adult Protection is well managed, service users are safeguarded from abuse and staff had good knowledge of these issues. All care staff has undertaken POVA training. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It contains details of how to contact the CSCI to make a complaint, that complaints would be responded to in 28 days and that complainants would not be victimised. Four service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their complaints and dealt with them fairly. One spoke of her key worker supporting and helping her to complain. Two service users spoken to who had made a complaint in the past said these had been dealt with fairly. The home does keep a record of complaints. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 16 Since the last inspection visit, there have been no complaints received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users; each has an individual bank account. There was evidence of personal spending and receipts are kept. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 17 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 25 26 27 28 29 30 The home provides a comfortable and safe environment for the service users. One bedroom carpet is rippled and needs to be re-fitted, another should be replaced. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home is in a residential location. Four service users interviewed did say it was homely and comfortable. The grounds were tidy, safe, attractive and accessible. The fire service and the environmental health department had made visits to the home. Requirement made by these organisations had been actioned. The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 18 Service users can see visitors in private in their own rooms. The dining area is large enough to cater for all service users. There is a smoke-free sitting room. Outdoor space and all areas of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. There were appropriate aids and adaptations – eg seat raisers, grip rails, bath hoists. Room sizes did meet the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. All bedrooms are single. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators covers were fitted. Lighting levels were sufficient and there was emergency lighting throughout the home. Apart from one of the service users bedrooms, the home was clean and free from offensive odours. The laundry facilities appeared to be well organised. Washing machines have the specified programme to meet disinfection standards. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 19 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) 33 36 The staff team work positively with the service users to improve their quality of life. Appropriate staffing levels are in place there are two staff vacancies both posts have been advertised. All staff receives appropriate training and supervision. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. The home has two care staff vacancies, both posts have been advertised, the current staff team have agreed to work extra shifts until these posts have been filled. There are two staff on duty across the day, one waking night staff and one staff on sleep-in. All the staff were over 18 years of age and those left in charge were at least 21. Staff training needs is identified during regular supervision sessions. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 20 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) 37 38 42 43 Systems are in place to promote health, safety and welfare of the service users. The staff team are familiar with the homes policies and procedures. The homes newly appointed manager is required to undertake the registered managers award and level 4 NVQ in care. EVIDENCE: The home manager has been in post since June 2005. Within the next 12 months she will be required to undertake the registered managers award and level 4 NVQ in care. Staff interviewed were clear about the their responsibilities. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 21 Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are on display for relatives/others to see The organisation has developed a range of new policies and procedures which have to some degree been linked to the National Minimum Standards. The records inspected were found to be appropriately completed, these included the fire log book, personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 22 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 2 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 x 3 3 2 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wingrove Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 3 x x x 3 x B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 23 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard ya 1 Regulation 4 Requirement The homes statement of purpose should include fees charged, what they cover, and the costs for exras and information should be made available on video or audiotape. One of the bedroom carpets needs to be re-fitted another should be replaced. The registered manager requires accredited medication training The registered manager is required to undertake the registered managers award and a level 4 NVQ in care. Timescale for action 1.12.05 2. 3. 4. ya 24 26 ya 20 ya 37 23 10 10 1.12.05. 1.11.05 31 8 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. 1. Refer to Standard Good Practice Recommendations Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Wingrove Road B53-B03 S464 Wingrove Road182 V223246 310805 Stage 4.doc Version 1.30 Page 25 - 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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