Inspection on 17/08/05 for Wordsley House

This inspection was carried out on 17th 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

Wordsley House 30/01/09

Wordsley House 20/12/06

Wordsley House 24/02/06

Wordsley House 06/01/05

Wordsley House 29/06/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Wordsley House 10 Westbourne Road Hartlepool TS25 5RE Lead Inspector Bill Drumm Unannounced Inspection 17 August 2005 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. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wordsley House Address 10 Westbourne Road Hartlepool TS25 5RE 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) 01429 293554 Mrs Josephine Orley Mrs Josephine Orley CRH 8 Category(ies) of MD Mental Disorder (8) registration, with number of places Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6 January 2005 Brief Description of the Service: Wordsley House is a privatley owned eight bedded care home for adults with mental health needs and is situated in a detached house in a quiet residential area of Hartlepool. The home has three stories and is indistinguishable from its neighbours. The home is situated close to the town centre of Hartlepool and provides easy access to local shops and leisure facilities. Wordsley House provides spacious communal living space for those who live there as well as a secluded garden to the rear. Each resident has their own single bedroom with a wash handbasin. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Wednesday 17th August 2005 and was carried out as part of the annual inspection programme. The inspection lasted for approximately 5.5 hours during, which time was spent taking with five of the residents, two members of staff and the manager. The communal areas of the building were looked at in addition to a number of the residents’ bedrooms. A number of records were also examined. No visitors were spoken with at the time of this inspection. What the service does well: What has improved since the last inspection? Since the last inspection the homes’ manager has reviewed the information contained within individual staff personnel files in order to ensure that a thorough recruitment procedure is followed and essential information is obtained about applicants. In addition the home has been accredited with the Investor’s in People Award in recognition of its work in ensuring that staff continue to receive the necessary training to fulfil their role and develop their skills. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 standard(s) 2. New residents are only admitted to the home following a comprehensive assessment of their needs and aspirations. This helps to ensure that staff are fully aware of individual needs, likes and dislikes and are able to meet those needs. EVIDENCE: The majority of records examined contained comprehensive assessments of need undertaken by Local Authority Care Managers and Health Care Professionals. In one file examined the comprehensive assessments was not present although a, pre-admission assessment had been undertaken by the homes’ manager. Four residents were spoken to during the inspection and all were able to confirm their involvement in the assessment process. The homes’ manager also confirmed, that individual pre-admission assessments are undertaken by her or a senior member of the staff team. Copies of these were also available on individual files examined. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 and 9. Residents’ care plans are detailed, up to date and clearly state how their needs are to be met and their independence promoted, this enables staff to meet the individual care needs of all residents. Residents are supported and enabled by staff to make decisions about their lives in order to have greater control over their lifestyles. Residents’ risk assessments are both detailed and regularly reviewed. Risk assessments are therefore appropriate to individual residents’ circumstances. EVIDENCE: Residents’ files examined contained detailed care plans indicating how best to meet the needs of individuals and how to promote their independence. There was evidence to suggest that regular reviews of care plans are undertaken and that residents are involved in the care planning process. Discussion with the manager, residents and staff indicate that residents are enabled and supported to be as independent as possible. Copies of care plan documentation have been prepared for residents to retain within their own bedrooms. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 10 From direct observation, discussions with the manager and discussions with members of staff it was apparent that residents are encouraged and enabled to be as independent as possible. Care plans and daily routines are based on individual needs and preferences and where appropriate risk assessments have been carried out. Residents’ files examined contained comprehensive risk assessments, which had a direct link to individual care plans and which indicated the involvement of residents. Risk assessment were signed and dated and there was evidence of reviews taking place. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 and 17. Residents’ are encouraged and supported to participate in activities, which are age, peer and culturally appropriate. Residents of the home utilise community resources with the support of staff members, which helps to promote their community presence. Residents are encouraged to maintain close contact with friends, relatives and other family members who support them in their placements. Residents are encouraged to participate in activities of daily living within the home. This helps them to maintain their own independence. The meals in the home are good offering both choice and variety. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 12 EVIDENCE: From direct observation, discussions with the manager, staff, residents and from an examination of individual files it was apparent that residents are enabled to participate in a range of community activities. The manager and staff all showed an awareness of the needs of residents and the need for them to access community resources in order to promote their community presence. Residents themselves were able to give examples of the way they participate in community life, from using local shops and pubs to occasionally working in a corner shop. Residents spoken to at the time of the inspection confirmed that they have maintained contact with friends and relatives since moving into the home. A good rapport was observed to exist between staff members and residents. Routines within the home were described by the manager, staff and residents as being very flexible. Residents confirmed that they liked the food at the home and that there was always plenty of choice. Mealtimes are flexible to cater for the individual needs of residents. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 and 20. Personal support is offered in the home in such a way as to promote and protect residents’ privacy, dignity and independence. The physical, emotional and health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure residents’ medication needs are met. EVIDENCE: Staff members were able to demonstrate their knowledge and understanding of residents and how the home provides care to them. Care plans examined explained how residents are to be looked after and also explained individual wishes. From observation it was obvious that a good rapport exists between residents and staff. Residents are registered with a local GP and Dentist, and access community health services as and when required. The residents who need it, receive ongoing support from the Community Psychiatric Services. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 14 The home has comprehensive procedures for the administration and management of medication. The manager reported that all residents self medicate and that, medication is retained by residents within their own rooms, this was confirmed by residents themselves and from direct observation. The manager reported that residents are also supported to take responsibility for their own repeat prescriptions etc. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 and 23. The systems for residents’ consultation in the home are good with a variety of evidence that indicates residents’ views are sought and acted upon. The home has comprehensive policies and procedures for dealing with any issues of adult abuse or exploitation in order to safeguard residents. EVIDENCE: The home has a comprehensive policy and procedure for dealing with any complaints or concerns. The complaints procedure would however benefit from some minor amendment to clarify what action will be taken should the complainant be dissatisfied with the outcome of any complaints investigation. The home has good policies and procedures for dealing with any issues relating to the protection of vulnerable adults (POVA). Some minor amendments are required however to fully clarify the lead role of the Local Authority in the Adult Protection process. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. The standard of the environment within this home is generally good and provides residents with an attractive and homely place to live. The home is clean, pleasant and hygienic for residents. EVIDENCE: The home is decorated and furnished in a domestic style and is generally well maintained. On the day of the inspection a number of repairs were highlighted as being necessary specifically a bathroom ceiling requires repainting the plaster work around one of the windows needs repair. One of the residents’ bedrooms also has a damp area where the wallpaper has come away from the wall. Residents’ bedrooms have been personalised in a style, which reflects their individual tastes. Communal areas of the home were homely. The home was found to be clean and hygienic throughout. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34 and 35. Residents are supported by competent and qualified staff who have the skills and experience necessary to meet the changing needs of residents. The arrangements for the recruitment and induction of staff are good with staff demonstrating a clear understanding of their roles. Staff are trained and competent to their job maintaining the safety and well being of residents. EVIDENCE: It was obvious from direct observation that staff members relate well to the residents of the home. Staff members spoken to had a good understanding of the needs of adults who have mental health difficulties and specifically the residents of the home. Staff personnel files examined at the time of the inspection were found to contain all the information necessary to fully comply with the standard. Residents spoken to confirmed that the home has enough staff members to meet their individual needs. Staff members spoken to during the inspection confirmed this to be the case. The homes’ owner and her family live on the premises and are available at all times during the evening and at night time should the need arise. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 18 All staff follow a thorough induction process and have the opportunity to participate in ongoing training. The majority of care staff at the home are trained to a minimum of NVQ level 2. The one remaining staff member is due to commence this training later in the year. The handyman and housekeeping staff have undertaken NVQ level 2 in Supported Living. The homes’ manager has a positive approach to training, which has recently been recognised with the award of Investor in People status, something for which they should be commended. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 39 and 42. Residents’ views are sought through regular meetings with the manager and staff and where possible their views are borne in mind by the manager when considering how to improve the running of the home. Records in general including Health and Safety were up to date. The Health and safety of visitors, residents and staff are maintained. EVIDENCE: Residents spoken to confirmed that regular meetings take place with the homes’ manager. The manager has also developed a quality audit tool for completion by residents,’ visitors or professionals involved with the home. The manager recognises that further development of this tool is required in order to provide more information with regard to how the home is run. Records examined confirmed that as far as is reasonably practicable the health and safety of visitors, residents and staff is maintained. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 20 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 x 3 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wordsley House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 21 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 24 Regulation 23(2)(b) Requirement The registered person must, having regard to the number and needs of service users ensure that the premises to be used are of sound coonstruction and kept in a good state of repair externally and internally. Timescale for action 17/11/05 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 YA 2 Good Practice Recommendations The homes manager should ensure that she recieves copies of all assessment documentation from relevent professionals prior to admitting a new resident to the home. It is recommended that the assessment files retained by residents in their own rooms should be reviewed to include a page of relevent contacts including CSCI, Local Advocacy Services, Social Worker etc. It is recommended that the homes procedure for dealing with complaints be reviewed to include what action can be taken should the complainent be dissatisfied with the outcome of a complaints investigation. It is recommended that the homes procedure for the protection of vulnerable adults (POVA) be reviewed in B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 22 2. YA 6 3. YA 22 4. YA 23 Wordsley House 5. YA 42 order to fully clarify the lead role of the Local Authority. It is recommended that the homes manager continue to review and develop the homes quality audit tool. Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Wordsley House B54 S21747 Wordsley House V228289 120705 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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