Inspection on 25/08/05 for Wortley Villa

This inspection was carried out on 25th 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

Wortley Villa 24/02/09

Wortley Villa 27/02/07

Wortley Villa 06/01/06

Wortley Villa 01/11/04

Wortley Villa 14/07/04

Wortley Villa 02/12/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Wortley Villa Bath Road Nailsworth Glos GL6 0HH Lead Inspector Paul Chapman Announced 25 August 2005 09:00 th 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. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wortley Villa Address Bath Road Nailsworth Glos GL6 0HH 01453 833140 not known Jeff@GGH.org.uk Gloucestershire Group Homes 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) Mr Jeff Bird Care Home 5 Category(ies) of Learning Disability (5) registration, with number of places Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 01/11/04 Brief Description of the Service: Wortley Villa is a three storey detached house with accommodation for five adults with Aspergers syndrome. The organisation offers a very specialised, individual service for people with Aspergers syndrome, and staff receive training to support service users appropriately. The home is situated in Nailsworth, which enables service users to access local community facilities. Service users also have access to transport that is provided by the home and this enables them to access facilities in other local towns. The home is staffed 24 hours a day, seven days a week. Family and friends are welcome to visit the home at any time and service users can meet them in private if they wish to. The service users attend various activities, which include day services provided by Gloucester Group Homes and college courses. The Inspector has visited the day service that is provided by the organisation. It has been developed specifically for people who have Aspergers and offers service users very individual programmes to meet their needs. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was completed over a four-hour period on a day in August 2005. The inspector arrived at 0900hrs and was met by a staff member who gave them a summary of activities and events taking place in the home. The senior support worker arrived shortly after this and was with the inspector throughout the inspection. The inspector examined the records for two of the service users in depth focusing on the assessment of their needs and the written plans to meet those needs. In addition to this the inspector spoke to one of the service users and examined records providing evidence that staff complete the regular health and safety checks required by the regulations. What the service does well: What has improved since the last inspection? The management team now complete regular regulation 26 visits as required. The organisation has produced a Statement of Purpose/Service User’s Guide that meets the criteria of the regulations. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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 Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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) 1, 2 The home’s Statement of Purpose/service User’s Guide enables service users and their representatives to make an informed choice about the service provided at the home. Assessments completed before a service user is admitted to the home ensures that their needs can be met by the service. EVIDENCE: Since the previous inspection the organisation has developed a Statement of Purpose/Service User’s Guide that meets the criteria of the regulations. Since the previous inspection a new service user has been admitted to the home and assessment completed by their Social worker was present in their file. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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, 8, 9, 10 Care plans and assessments are regularly reviewed by the staff and this ensures that the service users receive a service that is led by their needs. IPP’s and Care plans allow staff to provide care and support with a consistent approach. EVIDENCE: Service users’ files are stored securely in the home’s office and two of the four service users’ care packages were examined in detail and provided evidence of the following areas. Staff had completed skills assessments for both of the service users which identify their skills in completing day to day tasks and identify development needs for the staff to focus on. After an initial assessment this document is reviewed at regular intervals and updated appropriately. On completion of the assessment staff develop IPP’s (Individual Programme Plans) that identify the development need and the input required by the staff to support the service user to complete the task. Staff record the input required by the service user on each occasion and this is used as part of the regular review process. Staff have completed a skill assessment for the service user admitted in March this year and IPP’s will be completed in the near future. The minutes from a review Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 10 meeting with a service user’s funding authority, parents and other professionals were present. A staff member stated that a review for the service user admitted in March was to be held in the month following this inspection. Both of the service users had a general risk policy that provides staff with detailed information relating them, their needs and risks. Evidence of regular review was present. In addition to this a case study had been completed for one service user which was really comprehensive in identifying their diagnosis, behaviours, likes and dislikes and the best approaches staff could take to support the service user. A care plan developed for one of the service users limits their choice and rights. The inspector understands why this is necessary but the staff must identify the process and reasons why the plan has been developed. Records seen showed that the service users are consulted with about the activities they wish to be involved in. Both of the service users’ files that were examined contained risk assessments which had been reviewed where appropriate. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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, 14, 15, 16, 17 The lifestyles of the service users are varied and appropriate providing them with leisure activities and opportunities for personal development. EVIDENCE: Timetables and other records provided evidence that the service users have the opportunity for personal development through activities completed in the home and by accessing the organisation’s day service and the local college. Staff stated that they are currently arranging for one service user to be enrolled in French classes. Records seen during the inspection confirmed that service users use local facilities including the pub, shops, Post Office, chemist, cafes and take-aways. A service user spoken with during the day stated that they had been on holiday to France earlier this year and was due to go to Ireland later this year. Another service user has been to watch the cricket this year. Service users can have satellite TV in their bedrooms if they wish, and two service users have. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 12 Staff support one service user who collects coins. Every two weeks they take him to Cirencester Market so he can pursue his hobby. This service user is also interested in print fonts and collects them, staff at the day service support him to maintain his own website. Staff support service users to maintain contact with their parents. Service users are encouraged to be involved in the preparation of meals and they decide on the menu for the week each Sunday. There was a rota on the notice board showing that service users take it in turns to choose the meal for the evening. The previous menus were examined and showed that the service users were offered a varied and balanced diet. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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, 20 The skills assessment completed by the staff enables care plans to be developed to meet service users personal support needs. EVIDENCE: Service users personal support needs are identified as part of the skills assessment completed by staff and they develop plans to meet the needs that are identified. Examination of these plans showed that they record service users progress and regularly review the plan. The service users files provided evidence that healthcare needs were being met. Staff complete monthly health checks where they look at service user’s notes for any outstanding issues and monitor weight, etc. All of the service users are supported to attend health appointments and the staff team ensure that service users’ future healthcare needs are met, when other professionals have identified them. Service users’ needs were recorded in their files, which also confirmed that they have at least an annual check up with the Dentist, Opticians and Chiropodists. The home’s medication administration was examined and was seen to be generally well managed. It was noted there were a few gaps where staff should have signed to confirm the service user had received his medication. This was brought to the attention of the staff on duty. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 14 Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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) EVIDENCE: Neither of these standards were inspected on this occasion but have been assessed at the previous inspections and found to meet the criteria of these standards. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.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, 27, 28, 30 The home provides service users with high quality, comfortable accommodation that meets their current needs. EVIDENCE: The home was cleaned to a high standard on the day of the inspection and this is maintained by the home employing cleaners. The home provides the service users with communal accommodation comprising of a kitchen, dining room and separate lounge. All of these areas are decorated to a high standard with a range of appropriate furnishings. None of the service users’ bedrooms were seen on this occasion but at a previous inspection they were seen to be decorated to a good standard and personalised with the possessions of the people living in them. Since the previous inspection the bathroom has been decorated. To the rear of the property is a good-sized garden that is well maintained. There were no obvious maintenance issues to be addressed with the exterior of the premises. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 17 Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 18 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) 31, 32, 33, 34, 35, 36 The organisation’s recruitment procedure is robust and reduces the risks to service users. For the organisation to minimise risks to the service users they must ensure that staff are trained appropriately in the mandatory subjects. EVIDENCE: All staff have job descriptions. The organisation offers staff the opportunity to complete academic courses enabling them to work more effectively with this service user group. These courses are web-based and run by Birmingham University. The staff member present spoke about this course stating they thought the course was really good and enabled them to understand more about the service user group they supported. As part of the inspection the inspector visited the organisation’s main office to discuss recruitment and training with the service co-ordinator and service manager. Records of staff recruitment were seen to be well managed and meeting the criteria of the regulations. All new staff complete a period of Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 19 induction and completed programmes were available for inspection. The service manager has completed an audit of the training completed by staff across the organisation and training records were examined. In discussion with the service manager he explained that one staff member has been trained/qualified to train other staff in fire safety and that a training programme for all staff was due to start. Other training areas discussed for staff across the organisation included Food hygiene, first aid (a risk assessment should be completed to assess the number of staff that should be trained for each house), moving and handling animate/inanimate objects (use of video), Protection and prevention from abuse (required for all of the staff). These areas should be covered as part of the induction of new staff as well. The staffing rota showed that sufficient staff are available at all times. The senior support worker stated that additional staff are on duty during the day to support two of the service users. A recommendation of the previous inspection related to ensuring staff receive regular supervision. Although records showed that the frequency of supervision has increased the senior support worker is reminded that a minimum of six sessions should be completed per annum. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 42 The home is well run by the organisation and this ensures that the service users lead active, safe lives with the opportunities to make their views known. EVIDENCE: The Registered Manager does not work full-time at the home and visits regularly each week. The day to day running of the home is the responsibility of a Senior support worker. A requirement of the previous inspection related to the organisation’s management team completing regular regulation 26 visits to the home. Examination of records showed that this is now being done. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 21 Records showed: Fridge/freezer temperatures were regularly recorded, and staff used a food probe to monitor the temperature of cooked meat. A qualified engineer maintains the fire equipment regularly. Examination of the weekly checks completed by staff showed that they had not been done consistently by the staff. The manager must ensure that staff check the fire alarm weekly and the tests are recorded. Hot water outlets are fitted with thermostats and staff monitor the temperatures each month to ensure they are within safe parameters (not to exceed 43ºC). The accident/incident book was inspected and showed evidence of thorough recording, auditing and appropriate actions. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 3 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wortley Villa Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 23 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 12(2) Requirement The manager must ensure that any limitations to a service users freedom are supported with the reasons and agreement of all parties are documented. The manager must ensure that there are no gaps in recording service users medication administration. The manager must ensure that staff receive training as detailed in the body of the report. Timescale for action 02/12/05 2. 20 13(2) 04/11/05 3. 35 18(1)c, i 31/03/06 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. 2. Refer to Standard 36 Good Practice Recommendations (Intentionally left blank) The manager should ensure that all staff receive a minimum of six formal supervision sessions a year. Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 24 Commission for Social Care Inspection 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester GL3 4AB 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 Wortley Villa D51_D03_S16657_WortleyVilla_V207246_250805_Stage4_A.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. You have been warned!