Inspection on 28/01/09 for Wycliffe Close (12)

This inspection was carried out on 28th January 2009.

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

Wycliffe Close (12) 30/01/07

Wycliffe Close (12) 22/02/06

Wycliffe Close (12) 06/12/05

Wycliffe Close (12) 17/02/05

Wycliffe Close (12) 16/11/04

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Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Wycliffe Close (12) 12 Wycliffe Close Newton Aycliffe Durham DL5 4BN     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: Sam Doku     Date: 0 4 0 2 2 0 0 9 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. that people have said are important to them: They reflect the things 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 27 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 27 Information about the care home Name of care home: Address: Wycliffe Close (12) 12 Wycliffe Close Newton Aycliffe Durham DL5 4BN 01325318423 01325314621 wycliffe@oswaldhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Ian Thomas Patterson Name of registered manager (if applicable) Mr Richard Neil Morgan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Wycliffe is a Residential Care Home providing residential care services for up to 3 adults in the Category of Learning Disability (LD). Wycliffe is part of a small group of homes owned by the Registered Provider Mr Ian Patterson. Wycliffe is located in a pleasant residential area of Newton Aycliffe and within walking distance of the town centre and its amenities. Wycliffe is a small terraced house providing suitable living accommodation for its residents. The accommodation at Wycliffe comprises of 3 single bedrooms, a communal bathroom, a kitchenette a lounge/ dining area and a small, games room. There are small garden areas to the front and rear of the house, but there are no 3 Over 65 0 care home 3 Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home dedicated car parking spaces. The scale of charges for living at the home is between 395 and 500 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 27 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: The quality rating of this service is 2 Star. This means the people who use the service experience good quality outcomes. The inspection was unannounced and commenced on 28 January and completed on the 2 February 2009. Before the visit the inspector looked at: Information we have received since the last key inspection visit on 30 January 2007. How service dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). During the visit the inspector did the following: Talked to the people who use the Care Homes for Adults (18-65 years) Page 6 of 27 service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. 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 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 8 of 27 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 9 of 27 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. The service user guide provides good information about the home for residents and prospective residents. Thorough assessment of needs are carried out before admission is arranged. This ensures that prospective residents and their relatives have all the necessary information available to them to help make informed decisions about the home. Evidence: The home has a service user guide which is currently being reviewed by the company. The guide contain good information about the service and the company which the residents said they find useful. It is also available in pictorial format for the residents. It is the policy of the home to obtain full assessment from the health authority or social services before admission is arranged. The manager confirmed that there has not been a new admission for some considerable time now but he described the admission process to the inspector. He stated that once they have received the referral Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: details and the assessment, the prospective resident is then invited to visit the home to meet with staff and other residents. He indicated that these pre-admission visits are used as an opportunity for the home to assess the prospective resident. The manager confirmed that admission would only take place after the home has assessed the needs of the individual and the staff are confident that they have the necessary skills and facilities to look after the person. Records in the residents files confirmed these arrangements described by the manager. The files showed that a multi-agency team was involved in the pre-admission assessment of all the residents. The assessments are very detailed and they formed the basis for developing the care plans that the care staff work to. The manager stated that the first three months of being in the home is classed as settling-in period for the resident. The files contain contracts between the company and the residents which have been appropriately signed and dated. The contract is in pictorial format for easy reading for the residents. This service does not receive any emergency admissions. Care Homes for Adults (18-65 years) Page 11 of 27 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. The individual care plans reflect the assessed needs of the residents. Furthermore, the care plans provide guidance to staff on how those needs are to be met, thus promoting the residents wellbeing. Evidence: All the three files belonging to the residents were examined by the inspector. The files contain individual care plans. The plans contain good information about the care needs of the individuals and there are clear guidelines for staff to follow in meeting the needs of the residents. The care plans are regularly reviewed to reflect the changing needs of the residents. The care plans cover all aspects of the residents lifestyle. They provide details of how each person should be supported on a daily basis including social and occupational support. In addition a list of the individuals likes and dislikes, and strengths and needs are included in the care plans. The strength and needs list allow the staff to promote Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: positive care routines such as work, leisure and promoting independence. The home is clearly working toward person-centred planning of care for the residents. To ensure good understanding of the person-centred planning, the home is working with someone from the Valuing Peoples team. The home has started a new way of collecting detailed information about the residents, called My Life which is aimed at enhancing the quality of the care plans and the care provided for each resident. This allows the staff to collect information about the residents needs and aspirations, and then provide information to staff on how they can support the residents to achieve their goals and aspirations. The manager stated that the residents would play a role in putting the My Life together. The residents are consulted on all aspects of the running of the home. Residents confirmed that they do know what is going on and have always been consulted on matters relating to the running of the home. For example, they are consulted on menu, holiday arrangements, cleaning of their rooms and some are involved in the preparation of meals. Care Homes for Adults (18-65 years) Page 13 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable arrangements in place to engage the residents in community and in-house activities. This enhances their sense of belonging, empowerment and worth. Evidence: Each resident has planned activities for the day and they are supported to follow their chosen lifestyle. The manager indicated that the planned weekly activities are flexible and residents are able to change these plans at a short notice if it did not suit them for whatever reason. The staff are flexible enough to accommodate any changes to the plans. Some of these activities involve in-house activities and other involve outside or community activities such as employment, social and recreational activities. The residents spoke with the inspector and described some of the activities that they are involved in both in the home and in the community. One resident stated that he feels well supported by the staff to get involved in employment opportunities, and also to Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: purchase private support to enable him to further enjoy community and social activities. In conversation with the residents, it was evident that they enjoy good level of independence and are able to speak for themselves. The staff treat them with respect and empower them to make positive decisions about their life. To enable them to make independent decisions for themselves, suitable risk assessments have been carried out for each resident and the manager had put in place good risk management plans to promote their safety and wellbeing. The residents commented positively on the positive approach to the staff for them to experience good social life. Some of the activities that they are involved in include going to football matches, swimming, going to the cinema, going to disco and out for meals with friends. The manager stated that all the residents have bus passes and can travel independently. The residents confirmed that they have regular holiday trips to Keswick in the Lake District where they get involved in outdoor activities. They are also encouraged and supported to remain in touch with families and friends. The residents have good choice of menus available to them. The residents meeting minutes show that they have been involved in preparing the menu. The menus are regulary discuss with the residents and changes made to them depending on what the residents decide. The main meal of the day is at tea time, and residents are supported and encouraged to be involved in the preparation of meals. Care Homes for Adults (18-65 years) Page 15 of 27 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 promotes the emotional and physical health of the residents through their GPs and other healthcare professionals. Furthermore, the home has suitable arrangements in place for the safe handling of medication in the home. These arrangements promote the health and welfare of the residents. Evidence: All the residents have their own GPs and they are supported to attend appointments with their doctors when required. There are other arrangements for the residents to attend specialist out-patient appoints and consultation with other healthcare professionals. Record also show that the residents have regular visits to dentists and opticians. These visits are recorded on individual files and in the handover book. The records show that the residents have been receiving the health care that they are entitled to. The home works in partnership with other healthcare agencies and professionals including a psychiatrist and a clinical psychologist. The care plans provide details of the residents health and social care needs. All the three care plans that were examined contained good information about their needs Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: and provided detailed information to staff on how those needs are to be addressed. Residents care plans, risk assessments and other care records show that individual care needs are clearly identified and care programmes have been put in place to meet them. The care staff ensure that the care provided matches what has been agreed in the care plans. Where there are changes in residents condition, the care plans are altered to take account of the changes to the individuals needs. The drugs administration system was inspected and there were no discrepancies noted. Staff who have responsibility for administering medicines have had suitable training in safe handling of medication. However, the medication system should be reviewed to ensure that the a record of medicines received are recorded. Care Homes for Adults (18-65 years) Page 17 of 27 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. There are good systems in place to protect the residents from abuse. Evidence: The home has a written complaint procedure, which is part of the companys complaint procedure. Summary of the complaint procedure is included in the Service User Guide and copies are retained on residents files. The policy for residents is in pictorial format which makes it easy for the residents to read. One resident who was spoken with stated that he is aware of the complaints procedure and would know what to do if he was not happy about anything. In discussions with the manager and one staff member, it was evident that the staff who work in the home have good knowledge of how to protect the service users from any form of abuse. The manager and the staff member were very clear about safeguarding matters and described what actions they would take if they suspected a residents welfare is not being safeguarded. They gave example of one situation where the home was instrumental in putting in place safeguarding measures to protect the resident. There has been no complaints received since the last key inspection. However, the home has all the necessary formats for receiving and recording any complaints. There is a clear system in place for the handling and recording of service users Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: monies. Each resident has a bank account and records and receipts of purchases are kept to show how money is spent. Care Homes for Adults (18-65 years) Page 19 of 27 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 house is homely, comfortable, clean and meets the needs of the residents. Evidence: The home is located in the community and is close to local amenities and transport system. Each resident has their own room that is individually decorated and furnished to reflect each persons choice. There is good standard of decoration and furnishing throughout the home. The carpet on the stairs is beginning to suffer from wear and tear and the manager indicated that there are plans to replace it shortly. The residents have keys to their bedrooms to ensure privacy for them, and also to ensure that personal possessions are safe. The house is clean and maintained to good a standard. There is attention to health and safety of the residents, making sure that all equipment and other devices are in safe working order. There is a maintenance programme in place to maintain the good standard and safety of the home. Care Homes for Adults (18-65 years) Page 20 of 27 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. The residents are supported by staff who are well motivated and appropriately trained to meet the needs of the residents. This promotes the residents safety and welfare. The residents enjoy good staff to service user ratio, enabling them to enjoy personalised care and attention, thus promoting their independence. Evidence: The staffing complements are sufficient to meet the needs of the residents. The residents confirmed that there is always sufficient staffing on duty to meet their needs. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, infection control, protection of vulnerable adults, fire safety, food hygiene, Makaton vocabulary, No Secrets, fire safety and health and safety training. Also the staff in the home have attained NVQ qualifications. There is ongoing training programme for the staff to update their knowledge and skill. The home adheres to proper employment policies in recruiting staff. All staff have job description, they had completed job application forms and were interviewed before they were appointed. The staff files contain evidence of application forms, references, Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: interview notes and CRB checks. The manager stated that the staff receive regular group supervisions. Staff commented that they find the supervision sessions helpful and it gives them the opportunity to discuss with the manager their training needs. Care Homes for Adults (18-65 years) Page 22 of 27 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. The home is managed by a qualified and experienced person, and runs the home for the benefit of the residents. The safety and welfare of the residents are protected fully by the regular servicing of electrical equipments and the good safety arrangements that are in place. Evidence: The manager is registered with the Commission for Social Care Inspection. He has NVQ Level 4 in Management. There are suitable arrangements for staff to receive one-to-one supervision from the manager. However, the records show that last one to one supervision was in June 2008. The manager stated that this supervision sessions with individuals will re-start as soon as practicable. However, the close working relationship between the staff and the manager means that there is informal supervisions going on all the time. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: There is regular review of the service by the manager and the other managers from the other homes and owner to make sure that they are delivering a service that meets the needs of the people they care for. There is good communication between the manager, managers of other schemes within the company and the support staff. The providers Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). There is evidence that staff adhere to the policies as set by the provider. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 1 36 The manager should ensure that staff supervision is up to date and records should be kept to support this. Care Homes for Adults (18-65 years) Page 26 of 27 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 27 of 27 - 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!