Inspection on 25/08/05 for Wycar Leys The House

This inspection was carried out on 25th August 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wycar Leys The House 02/02/07

Wycar Leys The House 25/01/06

Wycar Leys The House 07/09/04

Wycar Leys The House 02/06/04

Wycar Leys The House 15/03/04

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 The House Kirklington Road Bilsthorpe Newark, Nottinghamshire, NG22 8TT Lead Inspector Lee West Unannounced 25 August 2005 @ 10:00 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 The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wycar Leys The House Address Kirklington Road, Bilsthorpe, Newark, Nottinghamshire, NG22 8TT 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) 0870 330 7522 0870 330 7521 Wycar Leys Limited Ms Joy Rachel Talbot Vacant Care home only (PC) 8 Category(ies) of Learning disability (LD) registration, with number of places Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2004 Brief Description of the Service: The House is a detached home, one of four properties on a large complex, for 8 adults with learning disability. It has a large enclosed garden surrounding the property and the service users access this safely and independently. The garden has a large trampoline fixed for service users. The home is close to the village and service users have access to a minibus for journeys further away. The service users have access to large grounds surrounding the complex. The House is not suitable for service users needing ground floor accommodation, or with limited mobility. All the service users at present are male. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out by two inspectors, Dee Shelvey and Lee West and commenced at 10.00am. There are 8 service users. The method used was case tracking, that is, the inspectors talk with service users about their expectation and experiences of living at the home, analyse the records of the service users and talk with staff to ensure that those living at the home have their needs met and health and welfare maintained appropriately. Members of staff and 3 service users were spoken with. Verbal communication is not the usual form of communication with some service users, so observation of mood, behaviour, non-verbal communications and interactions with staff and others was monitored as well. The Regional and acting managers were on duty and assisted with the inspection process. There were service users in all areas of the home, some visiting the locality, others in the outside areas. Service user and staff interactions reflected a positive, supportive atmosphere within the unit. The new furniture enhanced the individual rooms and the service users were pleased to show their possessions and rooms. The communal areas continued a homely atmosphere and groups of service users and staff were engaged in numerous activities in the home and local areas. The Home’s staffing levels were adequate for the needs of the service users and the teams rotate on a regular shift pattern with any vacant shifts being covered by members of staff from the other units. Health and safety is given high priority with risk assessments for service users to maintain independence. Policies and procedures are in place and all staff are required to adhere to them. A duty manager system is used within the units at Bilsthorpe which gives an added level of cover for staff to contact at any time. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Regulation 37 forms show location of events and as Wycar Leys are individual units, using the unit title in the address box would assist in monitoring events. Staff supervision records focus on duties and responsibilities with no area for personal development and training needs identification for individual staff members which are highlighted from appraisals. There is no input from the staff member or opportunity for feedback. Please contact the provider for advice of actions taken in response to this Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 8 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 The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 9 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) 5 Service users have individual written contracts within the home. EVIDENCE: The files case tracked contained the written contracts, properly completed and signed. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 Due to the communication difficulties, the service users do not always know that their needs or personal goals are reflected in their care plans or that the information is handled appropriately. However, the staff do try to encourage this. The service users participate in all aspects of life in the home, chores and responsibilities are encouraged according to abilities. Service users are encouraged to independence and are supported to take risks, again according to individual abilities. Service users are encouraged to make decisions in all aspects of their day to day life. EVIDENCE: Files case tracked showed updated care plans with signatures of service users or relatives. The care plans demonstrate the support required to assist service users to make their decisions and risk assessments completed to support independent living. All information is kept securely and the office and desk are particularly clear to avoid accidental destruction of any information. Service users are encouraged with free access to most of the building, which includes the office and during inspection this was observed. Some service users had been swimming during the morning, others chose to go into the village, escorted. Others were encouraged to choose activities for themselves and Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 11 during the inspection this process was observed with service users and support worker communicating to decide what the service user wanted to do. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 12 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) 11,12,13,14,15,16, The staff team work with the service users closely to encourage the service users to use any opportunities for personal development. The activities undertaken are appropriate whether within the home or in the local community. Staff encourage the maintenance of family and personal relationships. The interaction between the staff and service users demonstrated that there is respect for the service users rights in their daily lives. Meals were not assessed but service users were happy with the meals. EVIDENCE: The care plans tracked showed evidence of planning for development and also appropriate leisure activities tailored to each individual service user’s likes, dislikes, abilities and safety. On the day of inspection some service users had gone swimming locally, and 3 service users with a member of staff had been into the local village, one service user had been to the seaside with his father. The service users are at present all male but there is a policy in place regarding sexual relationships. The care plans tracked addressed this with respect and dignity for each individual and clearly showed the staff’s role in ensuring rights, privacy, dignity and responsibilities of staff and service users. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 13 The service users case tracked indicated that they enjoyed the food. Main meals are cooked in the main block and the kitchen in The House was clean and tidy. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 The service users all appear physically well,and emotionally secure, with no negative behaviour and all support given is what they prefer and need. Service users do not self medicate, due to the abilities of the service users and medication is administered from the office, but the individual rights, preferences and requirements are addressed. EVIDENCE: All the service users seen in and around the home were displaying positive behaviour and appropriate responses to staff. The staff were observed supporting them, and as the responses were positive this indicated their agreement to the level of support. The activity around the home was positive and lively. Care plans address physical, emotional and social needs and reductions in episodes of negative behaviour recorded indicates that these needs are being met. Medication is administered by staff and the home have inserted into the Medicine Administration Records individual instructions from the care plans. This is laminated and clearly demonstrates the individual requirements of the service users. All records were up to date and correctly recorded and all medications were stored correctly. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The staff and service user rapport and interactions indicate that their views are listened to and acted upon. All aspects of the home, environment, staffing, support and care are designed to protect them from abuse. Staff are trained in Protection of Vulnerable Adult procedures and adhere to the policies and procedures. Staff and service users interactions were relaxed with appropriate methods of addressing service users, appropriate touch and eye contact. EVIDENCE: During the inspection many interactions between staff and service users were witnessed, these were always positive and the service users reactions clearly indicated that they were content with the responses. The home’s environment provides privacy for the service users with personalised rooms with specialist furniture and audio visual equipment within locked, Perspex cabinets to reduce the risk of injury, or self harm from broken glass and other materials. Verbal communication is minimal and staff rapport, touch and eye contact does overcome this barrier. Observations of this were witnessed throughout the inspection process. The home does have policies and procedures in place for protection from abuse. Staff training records evidenced the Protection of Vulnerable Adults training. Discussion with the acting manager evidenced his knowledge of the procedures required. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30 The House has a homely, comfortable atmosphere and care has been taken to ensure that the environment is safe. The bedrooms are personalised and the service users tracked encouraged observation of their rooms and their personal belongings. Two of the rooms have en-suite facilities whilst there are two other toilets and 1 shower room and 1 bathroom. The communal areas continue the homely atmosphere and the home is clean and hygienic. Hazards have been addressed in ways to ensure service user safety. EVIDENCE: The furniture, the majority of which is specialised, has been thoughtfully chosen to be robust, withstand rough handling yet remaining modern and appealing. The service users rooms visited were pleasantly decorated and the colours chosen, where possible, by the service user. The individual rooms are kept clean by the domestic who was observed dealing with hygiene issues in one room with dignity and non-judgementally. She also has a good rapport with the service users and staff and all the home is clean, tidy and hygienic. All potentially hazardous substances are locked away and cleaning equipment colour coded and was observed to be used correctly. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 17 Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31.32.33.34.35.36 The staffing structure within the group of homes benefits the service users. Training is addressed, all the team members are clear about their roles and responsibilities which enables service users’ needs to be met appropriately. Regular supervision identifies training required to improve the establishment. The House has three teams of team leader and Support workers who rotate on a three weekly rotation and vacant shifts are covered from within the group from staff the service users are familiar with. All staff in post are appropriately recruited. The home’s Code of Conduct is strictly used. EVIDENCE: Induction training records seen, together with job descriptions and responsibilities, the Code of Conduct and staff supervision records. Staff recruited are Criminal Records Bureau and Protection of Vulnerable Adults checked with 2 references being seen on the staff records tracked. Schedule of staffing in each area, showing teams and roles and duty rota were seen and vacant shifts were shown covered by staff from the group doing extra sessions. Agency workers are not used. Staff are given regular, recorded, supervision and appraisal. The appraisal and supervision paperwork tracked showed emphasis on service users needs, rights and staff following all the procedures and training reflected this. There wasn’t an opportunity within the documentation for the staff member to give feedback Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 19 or to discuss their personal development and training needs identified in the supervision. All records were kept locked away. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,40,41,42,43 The home is run in a way which helps service users who display behaviour indicating they are happy and benefiting from the management style and approach the home has developed. Health, safety and welfare of service users are promoted within the unit and the management structure benefits the service users. EVIDENCE: The home is well run and service users were observed interacting positively with the staff and also the Acting and Regional Managers. The office had been organised in a way that would protect the service users from harm with all files being on a high shelf, computer boxed in and no paperwork around on the desk. This also maintained the confidentiality of all paperwork in the office. Policies and Procedures were in place for all the regulated areas. Checks and monitoring were carried out, and recorded, in accordance with requirements. Fire alarm testing and fire drills carried out. The fire extinguishers were all locked away, but this was approved by the fire service Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 21 for the protection of the service users and all staff are trained in evacuation procedures. There is always a duty manager, fire warden and first aider available to maintain safety and security. Water temperatures were checked and recorded – this was being carried out at the time of inspection. All other checks had been carried out and recorded, including electrical testing. Fridge and medicines room temperatures are taken and recorded. The Acting Manager is responsible to the Regional Manager for the unit. All staff are encouraged to adhere to the code of conduct and disciplinary action is taken if required as recorded in staff records. Regulation 37 Notification of death, illness and other events forms are completed and forwarded for each unit, but some only show the event location, otherwise informatively completed. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wycar Leys The House Score 3 3 4 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 3 C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA36 YA42 Good Practice Recommendations Supervision to record and respond to opportunities for staff training and personal development identified during the supervision and appraisal sessions. Regulation 37 Notification of death, illness and other events forms to be completed with the unit title in the address box. Wycar Leys The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 24 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 The House C53 C03 S8766 Wycar Leys House V245526 250805 stage 2.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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