Inspection on 04/01/06 for Wingrove Road

This inspection was carried out on 4th January 2006.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wingrove Road 25/06/07

Wingrove Road 31/08/05

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 Tyne & Wear NE4 9DB Lead Inspector Jim Lamb Unannounced Inspection 4th January 2006 10:00 Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 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 Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 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. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wingrove Road Address 182 Wingrove Road Newcastle Upon Tyne Tyne & Wear NE4 9DB 0191 2738861 NO FAX wingrove@stcuthbertscare.org.uk 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) St Cuthberts Care Miss Teresa Stout Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration:None Date of last inspection 31st August 2005 Brief Description of the Service: 182 Wingrove Road is a residential care home providing personal care and accommodation for 8 female service users with learning disabilities. The home is located in a residential area close to shops, public park the post office and other local amenities. There are good transport links close by with easy access to Newcastle City Centre. The home is on three floors and there is a passenger lift to all levels. All bedrooms are single: one has an en-suite facility. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual unannounced inspection visit. The inspection took place during the morning and mid-afternoon and lasted four and a half hours. The inspector spoke to all eight-service users, one member of staff and the manager. Two service users care records were inspected together with other records relating to the management of the home. What the service does well: What has improved since the last inspection? The service users risk assessments are currently being reviewed and up-dated. The registered manager has completed her six month probationary period and has almost completed the Registered Managers Award. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 6 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 DS0000000464.V275833.R01.S.doc Version 5.1 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 Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 145 The homes statement of purpose needs to be reviewed and up-dated. Prospective service users have the opportunity to visit the home on an introductory basis before making a decision to move there. All service users are provided with a costed contract/statement of terms and conditions. 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 is currently under review. The manager will ensure that it is produced in similar way to the homes complaint procedures and the homes mission statement by using a range of user-friendly formats; large pictorial print and video or audiotape. Two service user interviewed confirmed they had been given a copy of the guide. Two service users’ files were checked including the most recent admission to the home, on each was a copy of a full needs community care assessment. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 9 There was evidence that prospective service users have an opportunity to visit the home prior to admission to meet other service users and staff and over night stays are also offered. 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. The service users interviewed said their needs were met and they were happy with the care offered to them. Staff interviewed had had a range of relevant training and experience. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 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): 6 8 9 10 The service users care records are comprehensive and this ensures that the staff team are well informed about the holistic needs of each service user. The service users rights to make decisions about their day-to-day lives are respected, they are supported to take risks and any limitations are recorded. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. The service users risk assessments are currently being reviewed and up-dated, once agreed, these are then signed by the service users or their representatives, There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 11 Care plans continue to be drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. 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’ confirmed that they are able to make decisions for themselves. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 12 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): 11 14 17 Service users are supported to maintain their social, emotional, independent living skills. All have access to a range of community-based activities. The service users receive a healthy well balanced diet. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. The service users continue to have access to a wide 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 and training. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 13 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 light housekeeping tasks and food shopping. The inspector observed staff 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. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. The service users said that the food was very good and that a choice is always available. Two service users confirmed that they and others are always consulted about any proposed changes to the menus, and that staff frequently takes them out for meals. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 The homes medication systems are well managed. All service users have access to a range of health care professionals and receive regular health care checks. It is recommended that the staff undertake ageing, illness/palliative and death training. EVIDENCE: Service users require minimum help with her personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times. The service users said that they felt their privacy is respected. 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. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 15 All service users receive regular health care checks. The medication systems were examined for ordering, receiving and administering and disposal. These were found to be well managed Currently no controlled drugs are prescribed. All staff has undertaken accredited medication training. One service user is able to self manage her medication. The dispensing pharmacist offers good support and advice. It is recommended that staff undertake ageing, illness/palliative and death training. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 16 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): 22 23 A satisfactory Complaints and Adult Protection Policy was in place and, if implemented these should ensure that service users are properly protected. EVIDENCE: The home does have a complaints procedure. It contains details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. Two service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their concerns and dealt with them fairly. They said their key workers always listened to them and took what they said seriously. The home does keep a record of complaints, there have been no complaints received during the last twelve months. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 17 The home also has a copy of the D.H. “NO SECRETS” for further information. POVA training continues to be on-going for all staff and they have recently received challenging behaviour training. The Home maintains detailed financial records on behalf of the service users; each has an individual bank account. In the records inspected there was evidence of personal spending and receipts are kept. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 18 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): These standards were not inspected during this inspection visit. EVIDENCE: The environment standards were all met during the previous inspection visit carried out on 31.8.05. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 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 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): 31 32 33 34 35 There is sufficient numbers staff to meet the assessed needs of the service users. Staff recruitment is well managed and appropriate checks are carried out. The staff team have a range of skills and qualities necessary to meet the holistic needs of the service users. EVIDENCE: Staff levels on the day of the inspection continue meet the agreed level. Numbers of staff on duty: 2 staff between 8am and 10pm with one night staff between 10pm and 8am. Due to the very complex needs of one previous service use no longer at the home, it is no longer necessary for the home to have additional sleep-in staff on duty during the night. The service users interviewed said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via supervision and appraisal sessions. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 20 Staff receives three days paid training. There have been no changes to the staff team; the majority of the staff have worked there for several years. The staff team have a range of skills, knowledge, experience, to meet the collective needs of the service users, all are fully aware of their roles and responsibilities. The staff are provided with defined job descriptions. St Cuthbert’s Care has very robust recruitment and selection procedures in place and these are based on promoting equal opportunities. Thorough checks are always carried out including; POVA, CRB checks as well as obtaining two written references, proof of identity and medical checks. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 21 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): 37 38 39 40 41 The home is appropriately managed, the manager has almost completed the registered managers award. A quality assurance system is in operation and the service users are protected and safeguarded by the homes policies and procedures. EVIDENCE: The manager has only been in post for six months however, she has many years experience in senior management and has almost completed the Registered Managers Award, she has also completed the required accredited medication training. During the last year all of the staff team have continued attended several relevant training courses to keep them up to date. The service users interviewed spoke positively about the manager saying she had encouraged them to make decisions for themselves, they said that she was always “kind and helpful”. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 22 All spoke highly of the staff team and the care that they receive. Service users confirmed that they have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives/others to see. The organisation operates a quality assurance system based on obtaining the views of the service users, their relatives and professionals involved with the home. The home also has an annual development plan. The manager is aware that the results of the service users views of the home should be made available to all prospective new service users. The service users and staff do have access to the homes policies and procedures and the staff ensure that these are explained and understood by the service users. The other records inspected were found to be appropriately completed, these included the fire log book, accident records and personal allowance records. All records are secure and held in accordance with the Data Protection Act. 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 DS0000000464.V275833.R01.S.doc Version 5.1 Page 23 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 2 2 X 3 X 4 3 5 3 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 2 3 3 3 3 3 X X Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 24 Yes 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 Ya1 Regulation 4 Requirement The homes statement of purpose needs to be reviewed and updated and produced in a userfriendly format including video or audiotape. Outstanding. Timescale for action 01/04/06 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 Ya21 Good Practice Recommendations Staff require ageing, illness/palliative and death training. Wingrove Road DS0000000464.V275833.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Cramlington Area Office 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 DS0000000464.V275833.R01.S.doc Version 5.1 Page 26 - 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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