Inspection on 08/12/08 for Wycar Leys (Burton) Ltd

This inspection was carried out on 8th December 2008.

CSCI found this care home to be providing an Good 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

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Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Wycar Leys (Burton) Ltd 34 & 34a Stapenhill Road Burton On Trent Staffordshire DE15 9AE     The quality rating for this care home is:   two star good 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: Kathryn Marks     Date: 0 8 1 2 2 0 0 8 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. the things that people have said are important to them: They reflect 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 29 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Wycar Leys (Burton) Ltd 34 & 34a Stapenhill Road Burton On Trent Staffordshire DE15 9AE 01283533759 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Wycar Leys Limited care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 11. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability LD 11 Date of last inspection Brief description of the care home Wycar Leys is a large three storey detached house situated in a residential area of Burton upon Trent. The Home is registered with the Commission for Social Care Inspection to care for eleven younger adults with a learning difficulty. At present there are three people living at Wycar Leys. The property is situated on a main road. The gardens are spacious, secure and well maintained and there is a patio area with ample seating and a private lawned area. Adjacent to the rear gate is a small wooded area also owned by the home. The inside of the property is homely and domestic in character and each person using the service has single bedroom accommodation with a toilet and shower en/suite. There is a selection of communal rooms including an activity room, which means that the people using the service can have some private time if they wish, or entertain their visitors. The Homes Statement of Purpose and Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 11 Brief description of the care home Service Users Guide do not identify fees therefore readers of this report may wish to contact Wycar Leys for up to date information regarding fees. Care Homes for Adults (18-65 years) Page 5 of 29 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: two star good 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: This unannounced inspection was carried out on Monday 8th December 2008 by one inspector who used the National Minimum Standards for Care Homes for Younger Adults, aged 18 to 65 as the basis for the inspection. On arrival for this inspection there were five staff on duty the Care Manager, team leader, and three support workers. The Care Manager provided written information regarding staffing, staff training, menu and dietary provision that was observed to be in place at the home. On arrival at Wycar Leys two people who use the service were going out with staff Care Homes for Adults (18-65 years) Page 6 of 29 having decided they were going to town this morning and one person remained at home with two staff. Arrangements for the day were discussed with us to avoid disruption to people using the service enabling them to continue with their planned routine. We spoke to all the people using the service, one of them for some time in the lounge with staff. We reviewed two peoples care records in detail. We discussed food and menus. We also looked at the Annual Quality Assurance Assessment (AQAA) this is a selfassessment tool, and had been completed and sent to us prior to the Key Inspection. Completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment, which focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 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.csci.org.uk. You can get Care Homes for Adults (18-65 years) Page 8 of 29 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 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 10 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to move into the home receive all the information that they require and they are assessed so that they can be assured the home can meet their needs. Evidence: The AQAA we received prior to the inspection told us that the service has a suitable process in place to assess the needs of people who use services prior to admission. At the time of this inspection three people had moved into the home. There is no information about the fees in the Service Users Guide. This is because they are based on individual needs and requirements. The Service Users Guide is available in the home and is explained to people using the service and their relatives. The home following initial contact or enquiry by the placing authority or family Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: member makes contact with them to arrange an initial visit to the home. The person using the service and their family is invited to look around the home. This is followed by an assessment that is carried out by two managers and possibly an advocate and any other relevant person involved in the care of that individual. Following assessment a place is offered and depending on individual needs the person can move in straight away or, there could be a series of exchange vists and stays depending on the person. The service fits in with whatever is best for the individual to enable them to familiarise themselves with the home and other people living here. Care plans are compiled and agreed with the person using the service and a key worker is allocated. This means that people can be assured that the home can meet their needs before they move in. We talked to people using the service who told us they liked living at the home. The people appeared relaxed and comfortable with staff. Care Homes for Adults (18-65 years) Page 12 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are involved in decisions about their lives and play an active role where able to do so in planning the care and support they need. Evidence: The AQAA we received prior to the inspection told us that the home provides individual care plans that cover all aspects of the individual persons care needs. Each person is consulted on their person centred plans and is encouraged to participate in reviewing them. People are involved in staff interviews and decisions on how the home is run. Each person also has an individual risk assessment, which highlights any needs or risks they may have. We saw that each person using the service has an individual care plan and an Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: individual key worker allocated to them. The care plans of two people were reviewed by us and contained detailed information on all aspects of individuals personal care needs. The care plan is compiled with the person using the service and all persons involved with their care and support. If able to do so the person signs the agreed care plan, if unable to then a relative or advocate would sign on their behalf. People are enabled to make decisions, meetings are held where they discuss what they would like to do: holidays, outings, and changes in care. We observed people making choices about their daily routines during this inspection visit. People are supported to take risks, risk assessments are in place and were seen by us on care records. All people have risk assessments completed to enable activity rather than restrict it. The Care Manager and staff have a good awareness of Health and Safety. Care Homes for Adults (18-65 years) Page 14 of 29 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. The people using the service are given every opportunity to enjoy fulfilling lives and relationships with others. Evidence: The AQAA we received prior to the inspection tells us that the service will enable all the people using the service to participate in appropriate college courses, work placements or activities. The service will work closely with the local community to enable people using the service to develop as individuals within the area. The people using the service will be encouraged to maintain personal relationships as well as forming new friendships. Each person will be encouraged to eat a healthy diet and will be supported to design Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: the menus they will follow. At the time of this inspection, there were three people living at Wycar Leys. We saw that two people are enrolled on basic computer skills course at Nottingham Community Bus while they wait for places to be available at Burton technical college. Another person is waiting for a work placement at a local stables. Two people using the service wish to do dog walking at the RSPCA in Burton and they are currently being assessed to make sure the activity is safe for them. All three people living at the home are members of the local gym and bingo hall. People access the local swimming baths, cinema and library as they wish with support. People using the service told us about going out for meals and to the local pub two doors away. One person had been shopping and talked about where they had been and the price of items they were looking at. We observed daily living skills being promoted; with individuals helping with various tasks in the home. One person was making cakes for tea. All aim for healthy eating but also said that they enjoy eating out. Staff support people using the service to prepare their own meals. Two people using the service have achieved food hygiene certificates. Care Homes for Adults (18-65 years) Page 16 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home meets the health and personal care needs of people using the service. Evidence: The AQAA we received prior to the inspection tells us that the people using the service have a person centred plan, which details the way they prefer their personal care and support to be managed. All people using the service are registered with the local doctor and will be able to attend well man and well woman check ups. The service has extensive policies on the administration of medication, which is only given by staff trained to do so. Information in person centred plans and care plans tell us that people using the service are given support and assistance in the way they prefer. Flexible routines within the home are based around the involvement of the person using the service. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: There is a designated key worker system in place that is clearly identified in support plans. Key workers are of a similar age, likes and dislikes and work closely with the family and friends to support the wishes of the person using the service. The privacy and dignity of people using the service was observed to be promoted during this visit. Staff told us there are occasions when people do state a preference of carer and if possible staff facilitate this. Peoples preferences are identified in care plans. Healthcare is managed with the assistance of staff and people using the service go out to local health care practices where they are registered with relevant professionals. Healthcare records identify personal needs and preferences and staff monitor personal care. All staff administering medication has been trained to do so. The manager has also completed training in Medication and Safe Handling of Medication. There is a list of staff that are trained to administer medication. We saw staff training records that identify who has received training in the safe handling of medication. Medication is stored in a locked metal cabinet in a locked room. A Monitored Dosage system is used for administration of medication. There are no controlled drugs in use at the home. Medication Administration Sheets were seen and signed up to date. No people using the service are self-medicating. Care Homes for Adults (18-65 years) Page 18 of 29 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 make complaints and are safe guarded by the homes procedures. Evidence: The AQAA we received prior to the inspection told us that each person using the service would have a copy of the complaints procedure. This gives the person the information they need to make a complaint and tells them who they need to make the complaint to. The home has a whistle blowing policy. All allegations and incidents of abuse are acted upon immediately. All staff are trained on the protection of Vulnerable Adults. Appropriate pre-employment checks are carried out before staff commence employment. We saw a pictorial complaints procedure in place for people using the service and the manager is going to explore the use of an audio complaints procedure. The home also has in place a written detailed complaints procedure that identifies the steps to be followed if someone is not happy with the service and wishes to make a complaint. We saw this at the inspection. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: There is a complaints book to record complaints and concerns. We observed there had been one concern raised with the home that had been dealt with satisfactorily. We have received no complaints about the service. Eight staff have received adult protection training and two staff are currently working their way through this with Investors in People. We saw staff training records that identified this training. The service is aware of and follows Staffordshire Social Services safeguarding procedures. Policies and procedures relating to Vulnerable Adults and Abuse are in place and were seen by us. Criminal Record Bureau and Protection of Vulnerable Adults checks are carried out prior to employment. This means that the people using the service can be confident that they are supported by suitable staff. Care Homes for Adults (18-65 years) Page 20 of 29 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 design and layout of the home enables people using the service to live in a safe, well-maintained and comfortable environment, which encourages independence. Evidence: The AQAA we received prior to the inspection told us that the home is bright, clean, comfortable and safe. There is ample living space for the people using the service to do in house activities and the environment meets all the required standards. The people using the service with the assistance from the support staff ensure that the home is clean and tidy. We saw that the home is suitable for its stated purpose, is homely and nicely decorated. All people using the service have a single bedroom of generous size with en/suite shower facilities. There is also a separate activities/hobbies room. Observations were of a clean homely environment that was within easy access to the town centre shops and facilities. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Wycar Leys is located in a residential area and unidentifiable as a care home; it is domestic in style and in keeping with the local community. Care Homes for Adults (18-65 years) Page 22 of 29 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. A well-trained and consistent staff team support the people using the service and keep them safe. Evidence: The AQAA we received prior to the inspection told us that the staff receives a full induction when they commence employment, ensuring they are aware of and are provided with, all the information with regards to people using the service. This includes fire induction as well as receiving the relevant training to undertake their role. The homes recruitment policy is extensive and ensures that staff who are appointed are suitable. The service provides training for the staff team to ensure that staff are adequately trained to enable them to carry out their duties safely. We saw the staff rota and there are ten staff employed at the home, everyone works a rotating day and night rota. All staff have been signed up for National Vocational Training in care and are trained to Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Levels 2 or 3. We saw staff training records that confirmed this. Nine of the staff are experienced care/support workers and one member of staff is being trained in her first care post. We observed that staff are appropriately recruited and two staff files that we reviewed contained Criminal Records Bureau and Protection of Vulnerable Adults checks, application form, training records and two satisfactory references. This means that people using the service are protected by the homes recruitment policy and practice. Care Homes for Adults (18-65 years) Page 24 of 29 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. People using the service are safeguarded by competent management systems. Evidence: The AQAA we received prior to the inspection told us that the Registered Manager has his Registered Managers Award and NVQ level 4 in care and management. The manager continues to undertake any training relevant to his post to enable him to run the home appropriately. The home undertakes a quality assurance document each month to ensure that Wycar Leys is being run correctly. The organisation employs a maintenance team who ensure the home is safe, the manager does spot checks to ensure safe working practices are maintained. The records told us the registered manager is qualified and experienced. He has seven Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: years management experience working with people with learning difficulties. The manager continues to train to refresh his skills and keep up to date with current guidelines and practices. There is an in-house Quality Assurance check carried out at the home on a monthly basis, that assesses and collates against our standards. This is a new service and the manager told us that he plans to do six monthly surveys of the people using the service, to ascertain their views. Safe working practices were observed to be in place, records told us that appropriate checks are being carried out. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 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 29 of 29 - 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!