Inspection on 30/01/09 for Wordsley House

This inspection was carried out on 30th January 2009.

CSCI found this care home to be providing an Excellent service.

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 20/12/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Wordsley House 10 Westbourne Road Hartlepool TS25 5RE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karen Ritson     Date: 3 0 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 23 Information about the care home Name of care home: Address: Wordsley House 10 Westbourne Road Hartlepool TS25 5RE 01429293554 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Josephine Orley,Mr John Thomas Orley care home 8 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 8 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. The home produces a service users guide where the scope and range of facilities on offer is described. This and the latest CSCI report are available on request. The home charges separately for private chiropody, personal toiletries and transport. Care Homes for Adults (18-65 years) Page 4 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The inspection for this service took twelve hours. This includes time spent gathering information, examining documentation before and after a site visit. It also includes the time taken to write the report. The site visit took place on 30th January 2009 between 9:30 and 15:30. Information for this inspection was gathered from the following: 1. A visit to the home. 2. Speaking with people living at the home. 3. Speaking with staff. 4. Speaking with Adult and Community care staff. 5. Case tracking three people on the day of the site visit. 6. Reading survey forms from people living at the home and staff. 7. Looking at information provided by the manager prior to the site visit. 8. Care Homes for Adults (18-65 years) Page 5 of 23 Notifications sent to the commission from the home since the last inspection. 9. Examining policies, procedures and records kept at the home. 10. Examining information regarding the home on the file kept by CSCI. All key standards were looked at during this inspection. The manager was available throughout the day of the site visit. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations -but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may use the service and their representatives have excellent information to choose a home that will meet their needs. Evidence: Each person receives a comprehensive assessment of their needs. People are consulted about what they feel their care needs are and each person is involved in the assessment process as far as capacity allows. Specialist professionals are consulted when necessary and their views are included in the assessment. This ensures that as much information as possible is gathered so that the home can be sure it is able to meet needs. People are encouraged to have trial visits and there is a meeting with the person and a care coordinator to talk through what the home can offer. Assessments treat the person holistically and include such areas as pen portrait, preferred activities and lifestyle choices, medication prescribed, preferred form of address, social and family links, mental health needs, psychiatric assessments and outpatient support and any personal care needs. People are encouraged to have trial visits and there is a Care Homes for Adults (18-65 years) Page 9 of 23 Evidence: meeting with the person and a care coordinator to talk through what the home can offer. This ensures that the best possible care is taken to plan appropriate care for each individual. Care Homes for Adults (18-65 years) Page 10 of 23 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are fully involved in decisions about their lives, and play a very active role in planning the care and support they receive. Evidence: The home holds the philosophy that people are in control of their lives and direct how the service supports them. Goals are drawn up in cooperation with each person living at the home and the way in which these goals are to be achieved is written into the plan. Each person has a copy of their plan of care which they keep and can bring to reviews. Reviews are regularly undertaken, whenever needed and at least every six months. The home consults widely about each person at review to make sure that the care being offered is the most appropriate for each persons needs. One health care professional said: The home works well with us. They are very good at managing the needs of people as they change. The preferred communication style is recorded and well known to staff to make sure people have the best opportunity to understand and contribute to the planning of their care. Risk assessments are thorough and detailed Care Homes for Adults (18-65 years) Page 11 of 23 Evidence: and also include environmental risks for each person. These risk assessments include the reasons for any restrictions and each person signs to agree whenever possible. All specialist and medical appointments are recorded separately to ensure the staff can easily track treatment history. One person said: They are really good at keeping me informed at review meetings and at any time I ask. I feel I am in control of my life here. Its so much better than where I was before. Jo and the staff understand me well. I never feel I havent had the chance to talk to them about what I want. Care Homes for Adults (18-65 years) Page 12 of 23 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use services are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals expectations. Evidence: People living at the home are enabled to live full and interesting lives. The home assists people to enrol on courses of interest at local educational establishments. The home has links with the local voluntary development agency and employment link which offers information about work and training opportunities. People who require a member of staff to accompany them on work placements or other activities receive this support. People access the local community, shops, pubs, library, day centre and some enjoy the local disco. There is a hearing voices support group which two people attend. One person explained how she had experienced a life event which had affected Care Homes for Adults (18-65 years) Page 13 of 23 Evidence: her deeply. She had written an account of this and had received support to have this published to give to people in return for donations to a charity. She was very pleased to have raised a considerable sum for her chosen charity this way. People decide on whether they wish to go on holiday and where. Staff assist this to take place. One person recently went on holiday to Blackpool and another has been to Florida. There are regular days out, planned with people at the home. The home hires a minibus for larger groups and people go out one to one in a car, or travel alone if safe and if they wish to. People are assisted to maintain family contacts and to maintain friendships outside the home. Much information is written into care plans and evidence of activities is written into daily diary notes. People are involved in planning menus. Healthy meals are a priority, though there are occasional take aways too. One person enjoys baking and has helped other people living at the home to celebrate a birthday with a special cake. Another person enjoys filing the accounts for the weekly shop. Care Homes for Adults (18-65 years) Page 14 of 23 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: People are enabled to live their lives the way they wish to in a way which promotes independence and respects the individual. Privacy is respected and all people have keys to their own rooms. All people take care of their own medication in NOMAD systems and this is well monitored and risk assessed. People are enabled to take control of their own health care. People said the home struck a good balance between support and encouraging them to do things for themselves. One person said: I can do most things myself and dont need to refer to them at all, but at any time at all I can say help and they are straight there. Its very good. It makes me feel protected without over protection. Some staff have recently received training in Mental Capacity and those spoken to had a clear grasp of the ways in which people could be enabled to retain as much independence regarding decision making in their lives as possible. Care Homes for Adults (18-65 years) Page 15 of 23 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. Evidence: The home has a comprehensive complaint policy and procedure. People living at the home have access to this in an appropriate format in the home, on the noticeboard, and in their service users guide. In addition the complaints procedure is explained to people on admission and they are made aware that they will not be treated any differently if they have made a complaint. All staff have received abuse awareness training and refresher training was planned. Staff were knowledgeable about what might constitute abuse and the agencies that may be involved in an investigation. People living at the home said they were able to say if things were not right and that staff would listen and put things right. Care Homes for Adults (18-65 years) Page 16 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment, which encourages independence. Evidence: The home is well decorated and furnished to peoples taste. The home has recently purchased a new specialist chair and a bed raiser to assist people living at the home. People said they liked their rooms and rooms were personalised and homely. People are able to adjust heating in their own rooms and they are safeguarded by a good fire risk assessment and infection control procedures. The laundry is located in a separate building away for the main home. The washing machines are semi commercial rather than industrial in design to enable people to carry out their own laundry. The home does not use paper towels which would be better for infection control and at present uses ordinary towels. however the manager is looking into providing electric hand dryers which would be effective in terms of controlling risk of cross contamination. Care Homes for Adults (18-65 years) Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service and to support the smooth running of the service. Evidence: Staff are well recruited, with references and Criminal Records Bureau checks taken out on each new member of staff. The home must be careful to ensure that references are gained for all members of staff including those well known to the manager. This is to ensure people living at the home are protected from staff who are unsuitable to work with vulnerable adults. The home has plans to take out a POVA check on each new member of staff in addition to the CRB, though this is only needed if staff begin work before the CRB is returned and under supervision. Staff receive a good induction, along skills for life guide lines, and also have foundation and other specialist training as required. Staff have recently had a refresher training in the minimum standards and regulations and each has a training needs analysis on file. Most staff have NVQ to level 2. This ensures staff have the skills to offer the right care. Care Homes for Adults (18-65 years) Page 18 of 23 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Evidence: The manager is very well qualified for her role. She has NVQ level 4 in care and management equivalent and over 20 years relevant experience. She continues to show evidence of periodic training to update her skills and knowledge. Staff said she provided a good lead and provided support for them in their role. In discussion the manager provided a clear vision of the philosophy and values of the home and demonstrated she was pivotal in ensuring the people living at Wordsley House got the appropriate care. The manager lives on the premises and works all weekend and night shifts so gaining a good insight into the individual care needs of each person. The home has a good quality assurance system. Annual questionnaires are sent out to people living at the home. There are service user meetings which are recorded, and informal chats where people are encouraged to have a say. The manager is planning to produce questionnaires for health care professionals, visitors and staff which would Care Homes for Adults (18-65 years) Page 19 of 23 Evidence: broaden the scope of enquiry. The manager draws up an annual development plan based on the results of surveys and this is shared with people living at the home and staff. This ensures that what people say about the service affects how it is delivered. People are protected by good health and safety procedures, risk assessments and staff training. Overall there was strong evidence that the home operated from a base of openness in its dealings people living at the home and the staff employed there. People are listened to and their views are valued. Care Homes for Adults (18-65 years) Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 34 39 All staff should have two written references on file to protect the welfare of those living at the home. It is recommended that a broader group of people is surveyed, to include visitors, family advocates and health care professionals so that the home can plan care based on comprehensive feedback. Care Homes for Adults (18-65 years) Page 22 of 23 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 23 of 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. 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