This inspection was carried out on 25th January 2006.
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.
CARE HOME ADULTS 18-65
Wycar Leys The House Kirklington Road Bilsthorpe Newark Nottinghamshire NG22 8TT Lead Inspector
Dee Shelvey Unannounced Inspection 25th January 2006 10:50 Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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 Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Wycar Leys The House Address Kirklington Road Bilsthorpe Newark Nottinghamshire NG22 8TT 0870 3307522 08703307521 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) Wycar Leys Limited Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th August 2005 Brief Description of the Service: The House is a detached home, one of four properties on a large complex. It provides care and accommodation 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 DS0000008766.V278692.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over two and a half hours. It involved reading documents and reports, and discussions with staff and management. The service users had limited communication methods and could not be formally interviewed however the inspector was introduced and had a short chat. This home was thoroughly inspected on 25/08/05 and all the national minimum standards assessed were met. This inspection therefore covered only those standards not assessed last time. What the service does well: What has improved since the last inspection?
Regulation 37 forms now show the location of events and include the unit title in the address box. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 Page 6 Staff supervision records now show that personal development and training needs are addressed. The staff member contributes to the agenda and has opportunity for feedback. 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 The House DS0000008766.V278692.R01.S.doc Version 5.1 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 Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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): 1,2,3 and 4. Service users will have a needs led assessment and have sufficient information on the home to make an informed decision. EVIDENCE: The statement of purpose and service user guide were examined and found satisfactory. There was evidence of yearly reviews. The service user guide was in written and pictorial form covering all aspects of the home. A copy is placed on the service users personal file so that may have access to it at any time. Service users were also provided with information on independent advocates and how to access the service. The sample file examined contained in depth assessments and identified how each need would be met. There was evidence of family involvement in the process. The home can demonstrate that healthcare needs are met and some private provision is available. A local G.P. is retained to visit weekly and the services of a chiropodist, speech and language therapist and consultant psychiatrist had been retained. Dentists, opticians etc. are accessed as required. The environment had been adapted to meet individual need. Where necessary bedrooms had been furnished with special furniture to prevent damage to fixtures and fittings and the service user. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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): These standards were all met at the inspection in August. EVIDENCE: Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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): 12, 13 and 17. Service users take part in appropriate activities and are part of the local community. Residents receive a healthy diet. EVIDENCE: The staff team work with the service users and encourage them to maintain and improve daily living skills. The activities co-ordinator in conjunction with the residents arranges a programme of in house and external activities. Most external activities take advantage of local community facilities. A member of staff had raised the issue of healthy eating during a supervision session. The response was that the issue would be discussed at the next team leaders meeting and records showed that this was carried through. The staff acknowledged the fine line between giving people independence and when to conclude that someone could not make an informed decision. The result was guidance for staff on how to help individual service users maintain a health diet. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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): 21 This sensitive issue is discussed with service users and families. EVIDENCE: A service user will remain at the home, even when ill, for as long as their needs can be met. The current service users had limited communication skills and therefore much information had been gathered from the family. All wishes had been recorded and these were reviewed annually. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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): Both of these standards were met at the last inspection. EVIDENCE: Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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 and 25. The home is safe, warm and comfortable with each service user having a suitable bedroom. EVIDENCE: The home was clean and tidy, well furnished in a homely style and well decorated. The environment had been adapted to meet individual need. Where necessary bedrooms had been furnished with special furniture to prevent damage to fixtures and fittings and the service user. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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): 36 Service users benefit from well-supported and supervised staff. EVIDENCE: Staff are supervised an appropriate number of times per year and records are made. The records show that all aspects of running the home are covered and staff have the opportunity to contribute to the agenda. The sessions are used to identify training needs as well as to appraise performance. The interaction between staff and residents observed during the inspection indicated very good relationships based on mutual respect. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 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): 39 and 42. The service users views do underpin the development of the home and their health and safety is promoted. EVIDENCE: The service users satisfaction survey is a questionnaire in both written and coloured pictorial form. It covers all aspects of the home. The manager audits all of the homes processes and draws up an action plan to resolve any shortcomings. In one instance staff meetings had lapsed and a timetable for future meetings was drawn up immediately. The questionnaires are due to be reviewed and it was suggested that the process be expanded to include all visiting professionals. The health and safety policy was satisfactory and available to all staff. Staff had received appropriate training in all matters relating to health and safety. All fire safety equipment was checked at appropriate intervals and both staff and residents take part in fire drills. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 Page 16 All the records relating to safety issues were satisfactory and appropriately stored. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 X X 3 X X 3 X Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 Page 18 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. 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. Refer to Standard YA39 Good Practice Recommendations Expand the quality assurance questionnaires to include visiting professionals. Wycar Leys The House DS0000008766.V278692.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Nottingham Area Office 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
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