Inspection on 27/02/07 for Wortley Villa

This inspection was carried out on 27th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wortley Villa 24/02/09

Wortley Villa 06/01/06

Wortley Villa 25/08/05

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 Mr Tim Cotterell Key Unannounced Inspection 27th February 2007 02:00 Wortley Villa DS0000016657.V331193.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 Wortley Villa DS0000016657.V331193.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. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wortley Villa Address Bath Road Nailsworth Glos GL6 0HH 01453 833140 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) admin@ggh.org.uk Gloucestershire Group Homes Mr Jeffrey Michael Bird Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 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 DS0000016657.V331193.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The inspection was undertaken over two visits and took 7 hrs to complete. There was a good response to the Commissions’ care workers survey. The issues raised referred to1 2 3 the excellent out of hours cover for support staff the adequacy of weekend staff. the need to increase the options in the day care services. No doubt the issues can be discussed between staff at Wortley Villa and the Registered Manager, then further discussion if necessary with the Trust. During the inspection four members of staff were seen and spoken to and this included the senior support worker. All staff were seen as competent and providing appropriate support to service users when required. The inspector also spoke to two service users. It was clear that they were happy in the home and saw staff as supportive. The records seen included health, medication, personal monies and care plans. The accommodation was inspected but two service users bedrooms were not seen as they did not want to be disturbed (ground and second floor). What the service does well: The home provides a safe caring and supportive environment where the needs of the service users are seen as paramount. There was an excellent relationship between staff and service users and staff were seen as patient and understanding. Staff were seen to respond to requests in a manner which ensured individual needs were considered in a friendly but dignified manner. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 6 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. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected. EVIDENCE: Standard not inspected, as there had not been any new admissions since the last inspection. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 679 Quality in this outcome area is good. The service users plan includes risk taking and their contribution to an individual life style which meets their needs and wishes EVIDENCE: Each service users has a personal profile which includes any issues arising from their disabilities, and also strategies for staff to follow. There is also an annual review and an Individual Personal Programme which is reviewed annually. The last review of an Individual Personal Programme was seen and the objectives had been met. Subject to capacity and consent service users are able to make decisions about their lives and receive help and support from staff to enable this to happen. Each service user has a unique style of life and this reflects their wishes and needs. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 10 The lifestyles are dependant upon capacity and wherever possible staff encourage service users to have some independence in their daily lives. Risk assessments are written although in some cases a considerable period of time had passed before any evidence of review was noted. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 15 17 Quality in this outcome area is good. Service users enjoy an active and appropriate life style, which includes their families and the local community; the lifestyle ensures their rights are protected. This is complimented by enjoyable meals served in a pleasant manner. EVIDENCE: It was pleasing to see that some of the service users had been supported so that they could pursue interests they had prior to admission. The two Day Facilities offer valued and fulfilling activities and one service user told the Inspector that he enjoyed going. Staff encourage service users to use the local community facilities and there is plenty of information in the home to ensure service users are aware of what is going on in the community. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 12 Some of the service users told the inspector that they have enjoyed many individually tailored holidays which provided one to one support. Family links are seen as important and staff provide an appropriate link where this is seen as appropriate. The daily routines of the home promote individuality and where possible independence. The bedrooms were seen as areas where privacy is assured and consent is needed to enter. All bedroom doors have locks and service users have keys. Staff were seen interacting with service users and not exclusively with each other. The service users have access to all other parts of the home and grounds at all times. Healthy eating is encouraged and service users are involved with staff in the menu planning. After talking to staff and some of the service users it was evident that great efforts are made to provide a balanced diet, which is presented in a appetising manner. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome area is adequate. Service users health needs are identified and met although the failure to keep some records of the administration of medicines could place them at risk. EVIDENCE: Service users needs were being met in an individual and appropriate manner and this ensured their wishes were met in a dignified way. The home completes a monthly record of all health care received and this included services from the doctor, optician, dentist and where applicable podiatry. Each service user has a record of treatment and this is then summarised monthly and forms part of the overall record of the individual service user. The inspector discussed health care with staff, and it was evident that service users are encouraged and where appropriate supported to ensure all health care needs are met. The management of medicines was discussed and the records were inspected. At the time of the inspection there were two service users who had prescribed medicines and staff were managing these. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 14 The administration chart of one service user included some times when there was no written record of the administration of the medicines. The support worker on duty felt that as they were not in the medicines box they would have been given. It is essential that when medicines are administered there is a record, and that record is completed by the support worker who administered the medication. The question of a record of the administration of medicine was raised in the last inspection report and was made a requirement. The Inspector was assured that the matter would be addressed without delay and that it would not be an issue in the future. It is appreciated that the medicines are likely to have been administered, however, records must be maintained and some form of rigorous audit should be introduced. Finally staff advised the inspector that training in the management and administration of medicines had been provided by the Trust. It is required that accredited training and supervision is provided for all relevant staff to ensure their competency in this important aspect of care. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality in this outcome area is good. Service users live in a home which protects them from abuse. EVIDENCE: The home has a clear and effective complaints procedure. The inspector felt that the style of management in the home would ensure that most concerns were brought to the attention of staff and dealt with at source. Staff were seen as attentive and good listeners, giving service users ample time when required. Staff were aware of the nature of abuse and their open and dignified practices ensured service users were not at risk, either in the home or the local community. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Quality in this outcome area is good. The home has been maintained to a reasonable standard and provides a comfortable physical environment EVIDENCE: The home was generally found to be clean, appropriately furnished and in good decorative order however the following observations are made. 1 2 3 One bedroom on the first floor is in urgent need of decoration and the inspector was advised that this was in hand. Externally, the front entrance pathway has become overgrown and should be cleared and cleaned as it is unsightly, in wet weather it would be slippery and potentially dangerous. The back gate cannot be closed properly as one of the securing posts has become loose and needs repair or replacing. On the second floor there are two bedrooms, however, the home plans to convert one of the bedrooms into a shower/toilet area for the use of the service user who is accommodated on this level. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. Staff on duty were seen as competent and caring and providing a flexible service which met the needs of the individual service users. EVIDENCE: The inspector spoke to four support workers during the inspection and this included the senior support worker. They were seen as competent, caring and supportive and providing guidance which met the individual needs of the service users. Staff records were not inspected, as there had not been any appointments since the last inspection. The last recorded staff meeting was on 7 November 2006 Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 18 Support workers were provided with training and this included first aid, fire and health and safety. A distance-learning course provided more specialised training in respect of the specific disabilities of the service users. The home is normally staffed by one support worker as during the week the day centre is used and there are times when the home can be left unstaffed. The weekends appear to be times when all service users could be at home as the main “day service” does not operate. The staff support does not normally increase unless a specific request is made. The inspector was not aware of any unmet needs however the question of adequate staffing must be under constant review with an annual assessment of need, which is recorded. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 3 9 42 Quality in this outcome area is good. The home is managed in a way that provides security and safety for service users, but also allows them to contribute to the day-to-day practices. EVIDENCE: The registered manager of the home delegates many of the day-to-day duties to the senior carer who reports to the manager most days. The last recorded visit to the home under Regulation 26 was in January 2007 and a record of the visit was seen. One support worker has recently become the fire safety and fist aid officer for the home and is receiving training for the new duties. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 20 The home was seen as being well run and one in which the views of the service users are given careful consideration. The staff meets as a group and support workers felt that this was useful and enabled them to offer comment on how the home operates. Support workers also have an annual appraisal, which is undertaken by staff at the head office of the Trust. Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 21 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 X 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 2 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 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 1. YA20 13(2) The manager must ensure that medication administration sheets are always signed to confirm that the medication has been administered. Where the medication has not been administered the reason should be documented. 27/02/07 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 YA33 Good Practice Recommendations Review adequacy of staff at weekends Wortley Villa DS0000016657.V331193.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000016657.V331193.R01.S.doc Version 5.2 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. 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