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Inspection on 07/02/06 for Wycar Leys The Mews Care Home

Also see our care home review for Wycar Leys The Mews Care Home for more information

This inspection was carried out on 7th February 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

All documentation requiring them now contain signatures and dates. The care plans examined contained evidence of the service user involvement and dates for planned reviews. Any changes to the activities plan were only implemented after discussion with the manager and activities manager. Guidance, on what could be considered acceptable curiosity about sexual behaviour and what was not acceptable, had been made available to the staff team along with methods of dealing with such situations.

What the care home could do better:

The quality assurance system contained formats for gathering the views of families and visitors to the home but they had not been used. The more information that the home has upon hoe its services are perceived the better it can plan for future practice to meet expectations. The staff training record was not in chronological order and this could give rise to confusion, especially about when refreshers were needed. The staff training needs are now being audited via the supervision sessions but individual programmes should then be devised for the year. Staff training is currently centred on NVQs but given the client group the home should consider using the Learning Disability Framework accredited courses.

CARE HOME ADULTS 18-65 Wycar Leys The Mews Care Home Kirklington Road Bilsthorpe Nottinghamshire NG22 8TT Lead Inspector Dee Shelvey Unannounced Inspection 7th February 2006 13:00 Wycar Leys The Mews Care Home DS0000048275.V281256.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 Mews Care Home DS0000048275.V281256.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 Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wycar Leys The Mews Care Home Address Kirklington Road Bilsthorpe Nottinghamshire NG22 8TT 0870 330 7522 0870 330 7521 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 Sally Hamilton Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Wycar Leys The Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th September 2005 Brief Description of the Service: The Mews is one of four homes, for people with a learning disability, on a site a short distance away from the village of Bilsthorpe. It provides accommodation for 10 male service users. It has a large dining area, kitchen, and two lounges. There is a small enclosed forecourt and garden area which the service users have spent time personalising. The home runs independently to the others on site and has its own manager and staff team. The Mews shares some facilities with the other homes; these include a central kitchen, laundry, transport and extensive grounds. All areas of the home are easily accessible to service users. Wycar Leys The Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours. One requirement had been raised following the last inspection and the focus this time was on checking that it had been met and assessing standards not covered on that occasion. The methods used were reading documents and examining records, discussions with the manager and speaking with service users both individually and in groups. The inspection of 09/09/05 covered the national minimum standards in some depth allowing more time to be spent with service users on this occasion. The two reports should be read in conjunction to obtain an over view of the home. What the service does well: The home provides a good standard of accommodation for service users and they are able to organise their personal space to suit themselves. All residents were encouraged to personalise their rooms. Those parts of the home seen were clean and tidy being furnished and decorated in a homely style. The service users have access to numerous activities both in house and within the local community. The staff team works with the service users to promote independence and personal development. Service users confirmed that they are encouraged to be as independent as possible and to make decisions and choices. One service user described his unsupervised employment in a café and said he enjoyed it. Other residents have attended college courses and the activity timetables are negotiated with the service users. During the inspection there was time to observe the interaction between staff and residents. There was a relaxed atmosphere and people were treating each other with mutual respect. Two service users were consulted about their care plans and others were arranging to go to the cinema. Service users were happy and those spoken with described full and rewarding lifestyles. Wycar Leys The Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 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 The Mews Care Home DS0000048275.V281256.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 Mews Care Home DS0000048275.V281256.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): 2 No one would be admitted to the home without a full assessment. EVIDENCE: The care plans seen contained full assessments and included the views of the service user. Wycar Leys The Mews Care Home DS0000048275.V281256.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): 7 and 8. Service users are encouraged to be as independent as possible and are involved in all aspects of life at the home. EVIDENCE: The service users spoken with confirmed that they made choices and decisions on all aspects of their daily lives. During the inspection there were some lively discussions about where to go on holiday. Residents described meetings attended with the staff to make decisions on a range of issues from menus to new activities. One to one support can be given to enable a service user to try out an activity. Wycar Leys The Mews Care Home DS0000048275.V281256.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): 14 and 15. Service users are able to have appropriate relationships and engage in appropriate activities. EVIDENCE: All activities are decided upon in consultation with service users and people are not expected to do everything in a group. Risk assessments were carried out in relation to activities if necessary and kept under review to ensure the safety of residents. The activities on offer were extensive and if the residents wish to attend college it could be arranged. Two people had jobs and all the service users spoken with expressed satisfaction with the activities offered. Service users were encouraged to maintain relationships with their families and visitors were made welcome at the home. Guidance, on what could be considered acceptable curiosity about sexual behaviour and what was not acceptable, had been made available to the staff team along with methods of dealing with such situations. Wycar Leys The Mews Care Home DS0000048275.V281256.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 The ageing, illness and death of a service user would be handled with respect and as the individual would wish. EVIDENCE: The subject is raised with service users at appropriate times and the manager had also discussed the issue with families. Where specific wishes had been made know they were recorded. Wycar Leys The Mews Care Home DS0000048275.V281256.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): These standards were not assessed on this occasion but were both met at the previous inspection. EVIDENCE: Wycar Leys The Mews Care Home DS0000048275.V281256.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): 24,25 and 29. Service users have a good standard of accommodation that is comfortable, clean and safe. EVIDENCE: The home provides a good standard of accommodation for service users and they are able to organise their personal space to suit themselves. All residents were encouraged to personalise their rooms. Those parts of the home seen were clean and tidy being furnished and decorated in a homely style. Service users spoken with expressed satisfaction with the accommodation and during the limited tour of the building no potential safety hazards were seen. The current service users do not require aids and adaptations but these would be provided if necessary. Wycar Leys The Mews Care Home DS0000048275.V281256.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): 35 Staff who receive induction and follow up training meets Service users needs. EVIDENCE: The staff training records were a little confusing as they were not in chronological order and this could give rise to confusion, especially about when refresher courses were needed. Although staff training needs are being audited through supervision session this is not resulting in the drawing up of a yearly training programme. Staff training is currently centred on NVQs but the national minimum standard states that when working in learning disability services homes should use Learning Disability Award Framework- accredited courses to provide underpinning knowledge for progress towards achieving R/NVQs. Although only one of these standards was assessed it was pleasing to observe the good relationships that existed between staff and residents. Wycar Leys The Mews Care Home DS0000048275.V281256.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 41. The service users can be confident that their views underpin the development of the home and they are protected by record keeping policies and procedures. EVIDENCE: The home manager does a monthly audit of all the homes practice and systems, which is used by her managers in the supervision of the home. The opinions of service users are surveyed annually. Those service users spoken with said the staff listened to them and responded to their views. The homes record keeping policies and procedures were satisfactory and all confidential files were securely stored. The records examined were accurate, up to date and signed by the persons making entries. This is very important when monitoring care plans and ensures a quick response to significant changes. Wycar Leys The Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 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 3 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 X X 3 X 3 X X Wycar Leys The Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 Page 17 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. 2 Refer to Standard YA35 YA35 Good Practice Recommendations Staff training records in chronological order would be less confusing and highlight the need for refresher courses. That staff should use Learning Disability Framework accredited courses. Wycar Leys The Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 Page 18 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 © 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 Mews Care Home DS0000048275.V281256.R01.S.doc Version 5.1 Page 19 - 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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