Inspection on 19/07/05 for Wycar Leys Care Home (Bulwell)

This inspection was carried out on 19th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Wycar Leys Care Home (Bulwell) 30/10/06

Wycar Leys Care Home (Bulwell) 07/10/05

Wycar Leys Care Home (Bulwell) 31/03/05

Wycar Leys Care Home (Bulwell) 22/02/05

Wycar Leys Care Home (Bulwell) 24/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Wycar Leys (Bulwell) Snape Wood Road Bulwell Nottingham NG6 7GH Lead Inspector Mark Ryder Unannounced 19 July 2005 14:30 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. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wycar Leys Address Snape Wood Road Bulwell Nottingham NG6 7GH 0115 976 2111 0115 976 2888 Not Known Wycar Leys (Bulwell) Limited 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) Vacant Care Home - Private 16 Category(ies) of LD Learning Disability. registration, with number of places Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 31/03/05 Brief Description of the Service: Wycar Leys is a former purpose built residential home for older people situated in a housing estate with access to a good range of local facilities. The premises have been converted to provide spacious well-maintained accommodation for up to 16 younger adults with learning disabilities. The accommodation is divided into two separate units one on the ground floor (the Cottage) and one on the first floor (Homestead) each with separate external access. There are large enclosed gardens, which have been fitted with appropriate activity equipment. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the afternoon of the 19th July 2005 over a 5 hour period. The inspector was able to interview new and experienced staff, read care plans, logs and written contracts. Two service users spoke directly with the inspector although a number of residents made comments throughout this time. Four bedrooms were looked at as well as bathrooms and communal areas such as kitchens and living rooms. The manager and deputy manager were available and written and verbal feedback was given to them at the end of this inspection. What the service does well: This was a positive inspection. Recording, care planning and risk assessments were clear and well written. Health needs were appropriately addressed. Service user rights were clearly respected. The home was clean, hygienic and of a good standard. Bedrooms were comfortable and personalised to individual taste. Residents had lots of opportunities to be part of the local community. A resident explained that they liked living at Wycar Leys as they “ get to do lots of activities and go out a lot”. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 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. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.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 Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.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) 2,5 Care plans reflected the experiences of service users within the home. All residents had completed written contracts. EVIDENCE: Two service users care plans were inspected on this visit. These plans demonstrated that individual needs are assessed, recorded and reviewed on a regular basis. These ‘person centred Care Plans’ had recorded weekly activity programmes, development of independence, progression programme (including certificates of achievement), photographs of residents (including a pen picture) and medical information. There was recorded evidence that residents fully participate in the planning of these programmes. A service user said that: “we are given our personal allowance and we can spend whatever we like”. Contracts were all on file and included all relevant information required. These contracts were signed by residents (or marked) and by the manager. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.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) 8,9,10 Residents were encouraged to develop their independence in a supportive environment and were consulted regularly. EVIDENCE: Residents explained that they have regular meetings in which staff and residents discuss what could be improved on at the home. These are all recorded and accessible for residents and staff. One resident explained that they didn’t think they were listened to. Although this resident wasn’t able to give examples they agreed that the inspector could pass their worries on to the manager. This was therefore discussed during feedback with the manager. Risk assessments were completed for all residents covering daily care management, handling assessments and a comprehensive support plan that includes physical and verbal aggression assessments. Some residents said they have been given the opportunity to develop their independence whilst living at Wycar Leys. A care plan stated that a resident had been successfully encouraged to have a bath without staff support. Another resident was planning on leaving Wycar Leas to live independently. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 10 Even though some staff were concerned about this residents decision they fully supported the right for this resident to choose how they lived their life. All confidential files are kept in two offices, which are locked when not in use. All records seen were stored securely although it was difficult to find some documents easily in the Homestead office (see standard 41). Confidentiality was highly promoted at the home. Handover meetings were completed in the office, away from residents. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.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) 12,13,16,17 Residents enjoyed varied social and leisure activities and were part of the local community. Meals were well prepared and reflected what the residents liked. EVIDENCE: Wycar Leas is situated in a local residential area with access to shops, pubs and the community centre. The community centre was used for birthday parties and other events, which neighbours of the home are invited to. The church hall is also well used by residents. Activities ranged from go carting to shopping to activities within the home. There is a weekly activity programme with a ‘Wycar Activities’ pinned on the office wall. A detailed plan of activities is completed for each resident. For some residents it was clear that they wished to spend quite a lot of their time in their own bedroom. The staff explained that this was the resident’s choice but are encouraged, where possible, to be involved in other activates. A resident said that: “ we have lots of activities to do. I like going out shopping for new shoes!” Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 12 Main meals are prepared in the homes main kitchen, which is in another building to the living area. The food is brought over in a trolley and served in the two kitchens. These kitchens had fridges, cooker and sinks for staff and resident use. A new breakfast bar had been fitted into the Cottages kitchen thereby giving extra space for residents to eat their meals. Fresh fruit, milk and bread were available and residents can make their own breakfasts and snacks. Staff asked residents in the morning what meals they would like for lunch/tea and a menu is arranged at this stage. A member of staff explained that they are planning to display a daily menu so that residents can see what they have ordered. This could be in picture or widget symbol form to help understanding. At the time of this inspection residents were eating their tea. It was clear by the number of second helpings that the puddings were very popular! Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.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) 19 Resident’s health needs were appropriately met. EVIDENCE: Resident files had detailed information recorded of visits to GP’s, chiropodists, opticians and dentists. A daily diet intake was completed for all residents. Residents are registered with the local medical practice. Staff spoken with understood residents’ health needs and how to meet them. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 14 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) 22,23 Staff at the home take complaints seriously and are trained in the protection of vulnerable adults. However the central recording of restraints needs to be clearly evidenced. EVIDENCE: The complaint log records two complaints made this year. They recorded action taken and the outcome from the investigation of these complaints. Senior managers have signed these reports as part of the monitoring process. Staff spoken to explained that they had a good understanding of the whistleblowing policy and would know whom to contact if they were unhappy with the care residents receive by their colleagues. A resident said they felt safe living at Wycar Leas. Recording of restraints was not easy to find as information was either misfiled or not completed. Cross-referencing incidents (or case tracking) proved inconclusive as to how staff members manage violent incidents. The home has a central record of restraints as well an individual ‘Violent Incident record’. Both records did not detail the type, duration and outcome of the use of restraints on a regular basis. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 15 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) 24,25,30 The home is overall comfortable and homely. Decoration and re-carpeting is required in Homestead’s lounge. EVIDENCE: Bedrooms were well designed, and residents were actively encouraged to personalise their rooms with their own decoration, and pictures. A number of residents stated positively how much they liked their rooms. One room was very warm and stuffy but the resident did not like the window being opened and it was therefore their choice. The dining room in the Homestead area had paint flaking around the windowsill and redecoration and a new carpet is required in the lounge. The manager was aware of this need and plans are in place to complete the work shortly. Overall both Homestead and the Cottage were kept in a high state of cleanliness in all areas. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 16 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 Staff were confident in their work with service users and understood their roles and responsibilities. EVIDENCE: The manager explained that all staff now have an up dated job description and a photograph on file. A staff member explained correctly what the function and purpose of the home is. A number of staff showed competent and skilful abilities in working with the residents. Residents were treated with respect and sensitivity. New care staff explained they have been given an induction and that they had undergone key training within the first few weeks of working at Wycar Leas. This included first aid and health and safety training. The inspector did not review the numbers of staff who had completed NVQ 2 or 3 during this inspection. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 17 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) 40,41,42 The home ensures that resident’s rights, health, safety and wellbeing is promoted and considered at all times. The visitor’s book had not been used for some time and the administration system of the Homestead office requires better organisation. EVIDENCE: Staff and residents were aware of fire safety procedures. There is a weekly fire alarm test as well as regular testing and inspection of lighting and fireguard doors. False alarms are logged centrally. Portable Appliance Testing is undertaken prior to any electrical piece of equipment coming into the home. Agency staff are all given fire awareness instruction before they start working. The manager regularly monitors records such as the Violet Incident Reports (VIR) although no such monitoring was evident in the restraint log seen. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 18 The visitor’s book had not been completed since March 05. Staff explained that due to the changes in how visitors come into the home the logging of such visits proved to be difficult. Overall the administration of the home was efficient and filing was up to date. On the day of this inspection, however, it was noticeable that the Homestead office was untidy with a number of records not filed correctly. This was highlighted by the misplacement or loss of the restraint logs prior to the 14/07/05. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 19 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 4 x x 3 3 Standard No 31 32 33 34 35 36 Score 3 x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wycar Leys (Bulwell) Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x 3 1 3 x C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 20 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 23 Regulation 13 Requirement On any occasion on which a service user is subject to physical restraint, the registered person shall record the circumstances, including the nature of the restraint. The registered person shall maintain in the care home the records specified in Schedule 4 Timescale for action 31/10/05 2. 41 17 31/10/05 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 24 Good Practice Recommendations It is recommended that Homesteads dining room window sills be repainted and the lounge in Homestead be redecorated and re- carpeted. Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Wycar Leys (Bulwell) C53 C03 S34961 Wycar Leys V239112 190705 Stage 4.doc Version 1.40 Page 22 - 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. 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