Inspection on 20/12/06 for Wordsley House

This inspection was carried out on 20th December 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 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 24/02/06

Wordsley House 17/08/05

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 John Trainor Unannounced Inspection 20 December 2006 11.30 th Wordsley House DS0000021747.V319941.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 Wordsley House DS0000021747.V319941.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. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wordsley House Address 10 Westbourne Road Hartlepool TS25 5RE 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) 01429 293554 Mrs Josephine Orley Mr John Thomas Orley Mrs Josephine Orley Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th February 2006 Brief Description of the Service: Wordsley House is a privately 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 as well as a secluded garden to the rear. Each resident has their own single bedroom with a wash hand basin. Fees at the time of inspection were £347.00. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection involved the home providing information to the Commission for Social Care Inspection before a site visit which was unannounced and lasted 2 hours. During this visit records were inspected including care plans and health and safety records. Care practices were observed. People were spoken to including people resident, staff and management. There was a tour of 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. The summary of this inspection report can be made available in other formats on request. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People could be assured the home could meet their needs before they made a decision to move in. EVIDENCE: All files inspected had pre admission assessments on them. An admission was due on the day of inspection. Procedures prior to this admission had been robust and involved the full multi disciplinary mental health team. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 8 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): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were supported to make individual choices within a risk management framework. EVIDENCE: People were encouraged and supported to make choices and were free to come and go as they pleased. Any risks to people were assessed and managed to make things as safe as possible. People felt they had freedom and choice and could come and go as they pleased as long as they respected the others in the home, “there are some rules like letting people know where you are and if you are going out mainly for fire and things but as long as you say you are going out it’s fine.” There was a choice of lounge with three in the home one of them a smoking room. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 9 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): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s lifestyle reflected their expectation and preference. EVIDENCE: People reported being able to occupy their time. One person liked to do a bit of cooking in the kitchen supported by staff. Other people attended adult education and college courses. People could come and go as they pleased, went to shops and out to use community facilities, sometimes supported by staff. They did their own thing sometimes with 1-1 support and as such did not have activity plans in the home. Food was said to be good. Relatives could visit when they wished and were made welcome. People were treated with respect for their rights. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 10 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): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had their health and social care needs met in a planned and consistent way which promoted their independence. EVIDENCE: All files inspected had care plans. There was evidence of individuals having specialist assessment as necessary and people had specialist equipment. All people in the home self medicated. They each had a lockable cabinet in their room and files had risk management plans to support this practice. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 11 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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People could be assured their concerns would be heard and responded to and there was a procedure to protect people from potential abuse. EVIDENCE: The home had an adult abuse and complaints procedure. Training was organised for staff on adult abuse. Some had already received training. Staff could identify the process for reporting any abuse. Service users felt the management was approachable and they would be able to go to them with any concerns. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 12 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): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People lived in a clean, safe and homely environment. EVIDENCE: The home was well maintained and clean. People loved their rooms and appeared comfortable. One room did not have a thermostatic valve on the radiator though all others did so people could control the temperature in their own rooms to suit their preference. The requirements from the last inspection had been implemented. One toilet did not have liquid soap (though it was noted there were two in the other and maybe one had been moved.) The home did not use paper towels which is the best method for managing infection control. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 13 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): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were deployed in sufficient number and with sufficient skill to meet the needs of the people resident. EVIDENCE: “ Staff are very good to me and help me all the time.” There were 3 care staff and the manager on duty on the day of inspection. People said the staff were, “brilliant.” The staff team were well qualified and new training was planned. 83.3 of staff were qualiofied to NVQ 2 or above. Staff had been given induction and foundation training. No new staff had been recruited since the last inspection, there was a stable staff team. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 14 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): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed in the interests of the people resident. EVIDENCE: The manager had successfully completed the NVQ 4 in care management. Hard Wiring and Gas certificate inspected and up to date so people could be assured the installations were safe. Health and safety training had taken place with more planned for the coming year. The fire risk assessment had been completed and fire fighting equipment had been checked in Feb 06. Service user monies were not managed by the home, people looked after their own. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 15 Quality assurance systems were in place and there was evidence of service user questionnaires on files. There was an informal management style but this seemed to work well in this small home. The atmosphere was comfortable and people resident felt well cared for and said the manager was approachable. Fire safety refreshers were not being conducted at 6 monthly intervals as recommended. Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 16 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 X 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X Wordsley House DS0000021747.V319941.R01.S.doc Version 5.2 Page 17 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. 1 2 3 Refer to Standard YA24 YA30 YA42 Good Practice Recommendations A thermostatic control should be fitted to the radiator identified at inspection to enable the person to control the temperature of their room. Paper towels and liquid soap should be made available in communal toilet and bathroom areas to promote best practice in infection control. Fire safety training should be refreshed at six monthly intervals. 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