This inspection was carried out on 5th December 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 found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Wray Court (3 ) 3 Wray Court London N4 3QS Lead Inspector
Ms Beverley Brewer Unannounced Inspection 5th December 2005 10:30 Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 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 Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 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. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Wray Court (3 ) Address 3 Wray Court London N4 3QS 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) 020 7281 4464 Islington Social Services Andrew Washington Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15/8/05 Brief Description of the Service: Wray Court offers a respite care service to five service users with learning and/or physical disabilities at any one time. The home also provides one emergency placement, which is used for extra respite if not in use. Wray Court is owned by the London Borough of Islington. Accommodation is offered in a bungalow type building. All of the bedrooms are single. Bedroom furnishings are provided to meet the needs of service users accommodated at any one time, for example one user may not cope with chairs and wardrobe in the room. Placements are offered at Wray court in a planned way following referral, assessment and a care plan decided by a central panel. The home currently provides respite services to approximately 25 people. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second inspection within the new inspection schedule from 1st April 2005 to 31st March 2006. The inspection was unannounced and took place during a weekday. All of the core standards have already been assessed at the previous inspection. The purpose of this inspection was to examine the progress made in relation to the requirements made at the previous announced inspection. The majority of the time was spent speaking with service users and the manager. The remainder of time was spent touring the premises. What the service does well: What has improved since the last inspection?
Plans of care for emergency placements have greatly improved. A record of complaints is now maintained. A format has been provided to record the individual training identified for each staff member and management supervision has begun.
Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 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. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 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 Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 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 the following standard(s): 6 There is a clear care planning system in place that involves the service user and provides staff with sufficient information to meet the needs of service users who are placed for planned respite and emergency placements. EVIDENCE: The quality of recorded information for service users was very good with each service user having an individual plan of care, risk assessment and Care Programme Approach care plan if appropriate. The quality of care plans for emergency placements had greatly improved since the previous inspection. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 10 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 11 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 22 Complaints are recorded appropriately and management action is taken accordingly. EVIDENCE: A record of complaints is now maintained and a management action plan has been drawn up as a response to complaints made previously. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 24 Physical standards at Wray Court are satisfactory. The building is comfortable and safe. The building is clean and hygienic. Internal redecoration will be necessary within the next financial year. EVIDENCE: All parts of the home were viewed by the Inspector. Wray Court was found to be homely and comfortable. Internal redecoration is required as some areas are becoming shabby. The Care Manager informed the Inspector that there are plans to completely refurbish the building. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 36 There are a number of staff vacancies resulting in the use of many temporary staff. The Care Manager has started to provide management supervision for staff members. A format to record individual training profiles has been provided. EVIDENCE: The Care Manager reported that there are still a number of staff vacancies. However the present service is in the process of review and as such recruiting to staff vacancies is not considered appropriate. Management supervision has begun however the Care Manager should ensure that this occurs at regular intervals. A format has been provided to record individual training for staff members although this work was not complete. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The health and safety of service users is well protected. EVIDENCE: The Care Manager confirmed that all matters identified in the fire safety audit inspection have been addressed. Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x x Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x 2 x 2 2 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Wray Court (3 ) Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000031155.V271159.R01.S.doc Version 5.0 Page 17 yes 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 YA24 Regulation 23 Requirement The registered person must ensure that the home is redecorated. This requirement is restated. The registered provider is required to ensure continuity of staff during the review process. The registered person must provide individual training profiles for staff. This requirement is restated. The registered provider must ensure that management supervision occurs regularly. This requirement is restated. Timescale for action 31/03/07 2. 3. YA33 YA35 18 18 31/03/06 31/03/06 4. YA36 18 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. Refer to Good Practice Recommendations
DS0000031155.V271159.R01.S.doc Version 5.0 Page 18 Wray Court (3 ) Standard Wray Court (3 ) DS0000031155.V271159.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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