Care Home: 1 Springhead

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What the care home does well 15 of the applicable 34 National Minimum Standards were assessed on this occasion. All were met, 12 of them being seen as exceeded. The relationship between the service user and Mr & Mrs Wyatt goes back many years and is essentially a familial one. Nevertheless, Mr & Mrs Wyatt take seriously their obligations as registered care providers. Care for the service user is planned, and objectively reviewed three-monthly, feeding into an annual re-assessment of the care objectives. Health issues are shared with relevant professionals, whilst the Wyatts also attend reviews of day services. The quality of documentation is excellent; in the event of emergency, it would provide guidance to any substitute carers to provide continuity of care, based on the service user`s preferences and a lifetime`s experience. What has improved since the last inspection? At roughly six-monthly intervals, the inspector has seen progress on the part of the service user at each inspection visit, especially in communication. Mr & Mrs Wyatt achieve this by consistency of approach and liaison as appropriate with others. Mr Wyatt has updated his first aid knowledge by completing a certificated course since previous inspection. What the care home could do better: No requirements have been indicated by this inspection. It is a recommendation that, should Mr & Mrs Wyatt progress their plans for a period of temporary absence from the home without the service user, arrangements for the recruitment of a respite carer should be shared in advance with the inspector. This is because this will be a new departure and they do not receive significant support from any other direction. CARE HOME ADULTS 18-65 Springhead (1) 1 Springhead Sutton Veny Warminster Wiltshire BA12 7AG Lead Inspector Roy Gregory Unannounced Inspection 23rd February 2006 3:30 Springhead (1) DS0000028391.V284671.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 Springhead (1) DS0000028391.V284671.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. Springhead (1) DS0000028391.V284671.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springhead (1) Address 1 Springhead Sutton Veny Warminster Wiltshire BA12 7AG 01985 840589 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) Mr Michael James Wyatt Mrs Ruth Linda Wyatt Mr Michael James Wyatt Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Springhead (1) DS0000028391.V284671.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd September 2005 Brief Description of the Service: 1 Springhead, Sutton Veny, is the family home of the Registered Providers, Mr and Mrs Wyatt. It is a semi-detached house in a cul-de-sac on the edge of a medium sized village. This in turn is a ten-minute drive from Warminster, the nearest town. Registration is for one service user, who has her own purposebuilt extension to the home, with en-suite facilities. The establishment registered as a care home in 1998, when the service user reached adulthood; she had lived with them since she was a small child, under fostering arrangements. Registration was a means of enabling her to continue living with Mr and Mrs Wyatt. The latter do not propose to offer care to anyone else. At the present time, they do not employ any staff to assist them in their care of the service user. The service is therefore not typical of care home provision and several of the National Minimum Standards for care homes for younger adults do not apply. Springhead (1) DS0000028391.V284671.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit took place during the afternoon of Thursday 23rd February 2006. During this time the inspector, Roy Gregory, talked with the providers Mr and Mrs Wyatt and reviewed documentation. The one service user was present the whole time. Her private accommodation within the home was also seen. Whilst this was an “unannounced” inspection, the timing was pre-arranged with the providers to ensure their and the service user’s availability, and to avoid an untimely incursion into domestic life. What the service does well: What has improved since the last inspection? What they could do better: No requirements have been indicated by this inspection. It is a recommendation that, should Mr & Mrs Wyatt progress their plans for a period of temporary absence from the home without the service user, arrangements for the recruitment of a respite carer should be shared in advance with the inspector. This is because this will be a new departure and they do not receive significant support from any other direction. Springhead (1) DS0000028391.V284671.R01.S.doc Version 5.1 Page 6 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. Springhead (1) DS0000028391.V284671.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 Springhead (1) DS0000028391.V284671.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): None of these standards were assessed. Please see below. EVIDENCE: Mr & Mrs Wyatt confirmed their intention to maintain the service purely for the existing service user, with no intention to offer care to any other person, hence the inapplicability of most of these Standards. Springhead (1) DS0000028391.V284671.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): 6 Changing needs are identified and responded to in an objective manner. EVIDENCE: Mrs Wyatt continues to keep good records of care, which in turn inform threemonthly reviews of the service user’s needs and how the home plans for meeting them. Springhead (1) DS0000028391.V284671.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): 11, 12, 14 & 15 The placement offers security to the service user, on the basis of which her experience of the world around her is widened, whilst her familial and social roots are nurtured. EVIDENCE: There was evidence of the providers’ involvement in the service user’s day services review. A new day service was being tried in tandem with the one the service user has been using. There was a purposeful increasing use of train travel with the service user, and there were firm plans in place for foreign holidays in 2006, which the providers were subsidising heavily. Contact had been maintained with the service user’s birth family, whilst there was evidence also of her full inclusion in the Wyatts’ family and social events. It was clear that the service user has the strongest of emotional ties to Mr & Mrs Wyatt themselves. Springhead (1) DS0000028391.V284671.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): 18 & 19 There is excellent provision for meeting needs in accordance with service user preferences and professional guidance. EVIDENCE: The care provided is underpinned by a written and reviewed “action plan” that sets out the service user’s needs and preferences. In an emergency situation, this guidance would enable another care provider to offer continuity of care. The plan is updated annually, taking account of three-monthly reviews. In the past year these reviews have taken account of manual handling issues arising from notified incidents, with evidence of consultant advice being shared with others as necessary. There were regular physiotherapy reviews, in association with which equipment and orthotic advice and assistance have been procured. No medication was in use at this time. Springhead (1) DS0000028391.V284671.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): 23 The home provides security for the service user. Facilities for safeguarding the service user’s financial needs are very good. EVIDENCE: The inspector examined provision for safekeeping and accounting for the service user’s personal monies. There was a lockable facility within the service user’s own accommodation, to which Mrs Wyatt alone had access. Related documentation accorded with advice previously given by the inspector, allowing income and outgoings to be tracked. The total of cash tallied with the written account. Springhead (1) DS0000028391.V284671.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 &30 The home is the providers’ own home and as such is kept homely, clean, comfortable and safe. EVIDENCE: There had been no significant environmental changes since the previous inspection. There had been a satisfactory visit by an environmental health officer. The service user’s bedroom was seen to be of the same high standard as on previous inspection visits. Springhead (1) DS0000028391.V284671.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): 34 In the everyday life of the home, there are no “staff” beyond the providers themselves. Should respite cover be arranged in the home, the providers know how to recruit safely. EVIDENCE: Mr & Mrs Wyatt were considering possible use of respite cover to enable them to take a weekend or evening break from their caring role. This had not yet been progressed, but they had recently become aware that a suitably qualified person, already known to the service user, might be able to fulfil such a role. They were aware of the steps that would be necessary to protect the service user in setting up respite cover. The inspector recommends that, should this become a reality, the arrangements be shared in advance with the inspector. Springhead (1) DS0000028391.V284671.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): 37, 41 & 42 Mr & Mrs Wyatt take seriously their obligations as registered care providers, alongside the mutual enriching attachment that exists between them and the service user. All recording is efficient, up to date and fit for purpose. Health and safety are actively promoted. EVIDENCE: The service user sat with Mr & Mrs Wyatt throughout the inspection visit, and demonstrated her closeness to and complete trust in both of them. The Wyatts acknowledged her frequently and naturally as they gave information. Mr Wyatt had recently obtained a certificate in first aid. The providers have complied with all requirements and recommendations arising from previous inspections. This was the second consecutive inspection at which no further requirements have been set. Springhead (1) DS0000028391.V284671.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 N/A 3 N/A 4 N/A 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 N/A 32 N/A 33 X 34 3 35 X 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X X X LIFESTYLES Standard No Score 11 4 12 4 13 X 14 4 15 4 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 N/A X 4 N/A X N/A 4 3 X Springhead (1) DS0000028391.V284671.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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 YA34 Good Practice Recommendations In the event of the providers making plans for their temporary absence from the home without the service user, arrangements for the recruitment of a respite carer should be shared in advance with the inspector. Springhead (1) DS0000028391.V284671.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Springhead (1) DS0000028391.V284671.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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