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Care Home: Wellesley House Residential Care Home

  • 10 Wellington Road Bury Lancs BL9 9BG
  • Tel: 01617616932
  • Fax:
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Wellesley House is home to four people who have learning disabilities and need support to lead independent lives. The house is a large terraced property half a mile from the centre of Bury. There is a park opposite the house, and main bus routes and various amenities are within easy reach. There are two lounges, a kitchen and separate dining room on the ground floor. Upstairs, there are four single bedrooms with en-suite facilities, and a separate bathroom. Outside, there is a small front garden, and an enclosed yard at the rear, with decking where people can sit out in nice weather. Standard weekly fees are currently between £988 and £994.

  • Latitude: 53.584999084473
    Longitude: -2.2980000972748
  • Manager: Mrs Linda Bell
  • Price p/w: ~
  • UK
  • Total Capacity: 4
  • Type: Care home only
  • Provider: Mrs Linda Bell,Mrs Janet Kinsella
  • Ownership: Private
  • Care Home ID: 17538
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 12th August 2008. CSCI found this care home to be providing an Excellent 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.

For extracts, read the latest CQC inspection for Wellesley House Residential Care Home.

What the care home does well Before a person moves into the home their needs are assessed so that all concerned can decide whether the home will be suitable for them. People are included in reviewing their needs and goals, are able to make choices and decisions about their lifestyles and are encouraged to be as independent as possible. People are helped to become involved in community activities such as employment, college courses and leisure pursuits to ensure that they lead lives that are meaningful and fulfilling. The numbers of staff on duty are arranged to ensure that this always happens. People living at the home know who to complain to and feel they would listen them to. One person who had found it difficult to settle in other homes in the past told us that they "Felt safe and trusted everybody." The home is in a residential area and blends in with neighbouring houses. It has a pleasant and homely atmosphere. Bedrooms are single and have ensuites giving people space and privacy. The staff team are well motivated and very enthusiastic about their roles and have the experience, skills and knowledge to ensure that people`s individual needs are well met. In a returned survey a support worker stated that, "We communicate well with each other and the service users. We treat them as individuals and try to make sure that their needs are met and encourage them to reach their optimum potential." The management team is experienced, qualified and committed to ensuring that the home is run in the best interest of the people living there. They are always looking for new ways and ideas to improve the service and consult with people before they make any changes. What has improved since the last inspection? All the requirements from the previous inspection have been addressed around medication risk assessments and recruitment practice. The home is constantly looking for new activities and interests for people to become involved in. CARE HOME ADULTS 18-65 Wellesley House Residential Care Home 10 Wellington Road Bury Lancs BL9 9BG Lead Inspector Julie Bodell Unannounced Inspection 12 August 2008 09:45 th Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 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 Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 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. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellesley House Residential Care Home Address 10 Wellington Road Bury Lancs BL9 9BG 0161 761 6932 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) Mrs Linda Bell Mrs Janet Kinsella Mrs Linda Bell Mrs Janet Kinsella Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 4 service-users to include: Up to 4 service-users in the category of LD (Learning Disability). The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 29th September 2006 Date of last inspection Brief Description of the Service: Wellesley House is home to four people who have learning disabilities and need support to lead independent lives. The house is a large terraced property half a mile from the centre of Bury. There is a park opposite the house, and main bus routes and various amenities are within easy reach. There are two lounges, a kitchen and separate dining room on the ground floor. Upstairs, there are four single bedrooms with en-suite facilities, and a separate bathroom. Outside, there is a small front garden, and an enclosed yard at the rear, with decking where people can sit out in nice weather. Standard weekly fees are currently between £988 and £994. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This key inspection included an unannounced visit to the home. We (the commission) spent seven hours at the home. We watched what went on and talked to people who live at the home, the registered managers and two support workers. We also looked round parts of the home and at paperwork. Information requested from the service was received before the visit. This is called an Annual Quality Assurance Assessment (AQAA) and gave us very detailed information about the service provided. The four people who live at the home and two support workers returned completed surveys to us. What the service does well: Before a person moves into the home their needs are assessed so that all concerned can decide whether the home will be suitable for them. People are included in reviewing their needs and goals, are able to make choices and decisions about their lifestyles and are encouraged to be as independent as possible. People are helped to become involved in community activities such as employment, college courses and leisure pursuits to ensure that they lead lives that are meaningful and fulfilling. The numbers of staff on duty are arranged to ensure that this always happens. People living at the home know who to complain to and feel they would listen them to. One person who had found it difficult to settle in other homes in the past told us that they “Felt safe and trusted everybody.” The home is in a residential area and blends in with neighbouring houses. It has a pleasant and homely atmosphere. Bedrooms are single and have ensuites giving people space and privacy. The staff team are well motivated and very enthusiastic about their roles and have the experience, skills and knowledge to ensure that people’s individual needs are well met. In a returned survey a support worker stated that, “We communicate well with each other and the service users. We treat them as individuals and try to make sure that their needs are met and encourage them to reach their optimum potential.” The management team is experienced, qualified and committed to ensuring that the home is run in the best interest of the people living there. They are Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 6 always looking for new ways and ideas to improve the service and consult with people before they make any changes. 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. The summary of this inspection report can be made available in other formats on request. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 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 Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Before a person moves into the home their needs are assessed so that all concerned can decide whether the home will be suitable for them. EVIDENCE: The people living at the home are very settled and have lived there for many years. There have been no new admissions to the home since the last inspection. We looked at one support file and found that a community care assessment was undertaken by a qualified social worker before the person moved into the home. The home carries out its own assessment and develops care plans and risk assessments from this initial information. From both discussion and observation it was clear that the group got on very well together and there were strong friendships between them. On a returned survey one person stated, “Glad I moved here.” We had no concerns that the needs of the group could not be effectively met by the home. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are included in reviewing their needs and goals, are able to make choices and decisions about their lifestyles and are encouraged to be as independent as possible. EVIDENCE: The support records of one person were looked at. It contained an individual care plan that included the person’s strengths, needs, preferences and goals. Information matched what we had been told about the person’s by support workers and managers. The plans was based around eight value based outcome areas of community presence, independence, choice, individuality, status, respect and dignity, continuity, relationships, and culture. People knew about their written records and they could see them whenever they wanted. Annual reviews are undertaken with the placing authority and the plans are updated following the review meeting. People are involved in their reviews. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 10 Risk management plans for the person had been completed, with risks balanced against the person’s right to choice and independence. It was observed that people’s routines of daily living were flexible. For example people got up at the times they chose and they pursued individual activities. They confirmed that they made their own decisions about their lifestyles. People are involved in regular residents’ meetings. During these meetings people have the opportunity to discuss anything that was relevant to the group, for example new activities or menus. It was observed that people could speak up for themselves and they did not hesitate to approach one of the manager’s or support workers if they had anything to say. In a returned survey a person stated that, “They talk to me and listen to me.” Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged and supported to take part in community activities that help them to live fulfilling and valued lifestyles. EVIDENCE: Discussions, observations and written records showed that people took part in a wide range of individual activities. In the daytime, there was enough staff on duty to enable people to engage in community activities. In the evenings, there was normally only one support worker on duty except for Wednesday, Thursday and Friday evenings when two support workers were on duty to enable people to go out socialising with friends at O’Grady’s, Gateway and a local public house. Support workers said that if people wanted to take part in other outside activities in the evenings, for example theatre visits, extra staff would always be provided. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 12 People have very busy lifestyles. During the inspection visit, one person had gone out to do voluntary work at a local charity shop, while two other people had gone into Bury centre with a support worker to go shopping. The fourth person was going out to attend an exercise class. Daily routines are flexible and people did not have to attend if they did not want too. There were many examples about how people’s confidence, self-esteem and independence had increased as they had become more involved in activities. For example one person when they came to live at the home was not able to do very much for themselves. After intense support they are now able to walk independently to a regular job and interact with other people with ease. Other people’s behaviours had reduced markedly as they increased their life and social skills. Other regular community activities that people are involved in include college courses, meals out, walking, cycling, visits to the library to use the Internet, bowling, and the cinema. One person attends START, a local art group and the Mosses Drop In Centre twice a week. One person had recently seen Kylie Minogue in concert and there were plans for another person to go to the Bridgewater Hall to see the Halle orchestra. There are theme party nights held at one of the houses within the organisation each month. The last party was an America evening and the next planned evening is a German event. People said that they enjoyed meeting up with people from the other houses. At home, people engaged in whatever they were interested in, for example watching TV or videos, listening to music, reading magazines and doing jigsaws or cross stitch. Some jigsaws that had been completed had been framed and hung on the walls. The home had a pet cat called Jess who people helped to look after. Weekdays tend to be very busy and at weekends people spent time relaxing. People are supported to go on holiday if they want to. One person had recently spent four days in Blackpool. One person stated on a returned survey that, “I like reading my magazines that come every week.” The right to privacy was respected for example staff members knocked on people’ doors before entering. Some people took part in household tasks such as food shopping. People also helped to prepare meals and drinks, wash up, and keep their rooms tidy. People are encouraged to keep in contact with family and friends. Some regularly visited their families, or sometimes their families visited them. Pictures of people’s families could be found on the walls in their bedrooms. Two people had girlfriends who they had met through social events. The homes arrangements for food were not looked at in great detail. People were satisfied with the meals provided and said they had enough to eat. It was observed that drinks were available throughout the visit. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of people are promoted to help ensure their wellbeing, good health and safety. EVIDENCE: People living at the home are in the main independent in respect of personal care needs and only need prompt and encouragement from staff members to ensure that their needs are met. Everyone has en suite facilities, which ensures discreet support around personal care needs. People said that they chose their own daily routines for example what time they got up. One person stated on a returned survey that, “I go to bed early if I want too.” They said that they liked the staff and a good rapport and friendly atmosphere between the people was observed throughout the day. Staff members were aware of peoples’ health needs, and records showed that they contacted other health professionals when necessary. Records were kept of individual health appointments including GPs, dentists and opticians. One person stated on a returned survey that, “They keep me better and look after Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 14 me if I am a bit down.” And “They are sad (staff) when I am feeling a bit poorly.” The system for the administration of medication was examined. A monitored dosage system was being used which included pre-printed MAR (Medication Administration Records). The MAR sheets were appropriately completed. In line with good practice, peoples’ photographs were attached to the MAR to aid identification and a list of staff members’ usual signatures was maintained. Staff members had received training in the safe handling of medicines. There was evidence to show that people had given their consent to medicines being administered by staff. It was agreed that an out of date medication book offering guidance to the staff team would be removed and replaced. The long-standing issue regarding medication practices for two people must be addressed and resolved. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home know who to complain to and feel they would listen them to. Training in new local safeguarding procedures is planned so that staff members are clear about what action to take in the event of a suspicion or allegation of abuse. EVIDENCE: The home had a written complaints procedure. People living at the home said that they would speak to “Linda or Janet” or any of the support workers if they were unhappy about anything. They felt that they would be listened to and that something would be done. One person who had found it difficult to settle in other homes in the past told us that they “felt safe and trusted everybody.” There had been no complaints since the last inspection and a number of compliments were noted in the record book. The home had a copy of the new local authority multi-agency safeguarding procedures. However and as previously advised because all the people living at the home come from a neighbouring local authority the staff team have attended that local authority’s training. This has meant that they are unfamiliar with systems and relevant people within the area in which the home stands. The registered managers took immediate action to resolve this matter and training is planned for them to receive updated training in the new policy and procedures through the Bury Adult Care Training Partnership. There have been no allegations of abuse at the home since the last inspection. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a homely, comfortable, clean and safe environment for those who live there. EVIDENCE: The home is situated in a residential area of Bury, not far from the town centre. It is close to bus routes, shops and other local amenities. There is a park across the road. The house is a three storey terraced property. It was similar to other properties in the area, and therefore it did not stand out as a care home. Outside there was a small garden at the front, and an enclosed yard at the back, with decking where people could sit out in nice weather. There was no passenger lift so access to upper floors was by stairs so the home would not be able to meet the needs of a physically disabled person. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 17 Most areas of the home were looked at except for two bedrooms. The home had two large comfortable lounges, one of which was a designated smoking area and a separate dining room. Furnishings in the home were domestic in style. The laundry room and the office are in the basement. There is a bathroom with sink and toilet on the 1st floor. There were 4 single bedrooms, three on the 1st floor and one on the 2nd floor. They had en-suite showers and toilets. Bedrooms were personalised with peoples’ own belongings and reflected their interests. Bedroom doors were fitted with locks for privacy and people had their own keys. People said that they were happy with their rooms. Whilst the environmental standards in the home were satisfactory there will remain a need for ongoing redecoration and refurbishment in order to keep up standards. The home looked clean and tidy. The home employs a housekeeper. Liquid soap was provided for hand washing in the bathroom and kitchen. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 34 35 and 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team are well motivated and very enthusiastic about their roles and have the experience, skills and knowledge to ensure that people’s individual needs are well met. EVIDENCE: Staff files contained copies of job descriptions and contracts. The support workers spoken with fully understood their roles and responsibilities. During the visit it was observed that there was a very relaxed and friendly atmosphere between people, the registered managers and support workers. People who live at the home were happy with the support they received from them. The support workers spoken with were knowledgeable about the needs and wishes of people and how they were to be supported. In a returned survey a support worker stated that, “We communicate well with each other and the service users. We treat them as individuals and try to make sure that their needs are met and encourage them to reach their optimum potential.” Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 19 There is a very low staff turnover. Long standing support workers remained very enthusiastic and enjoyed supporting people to be involved in activities, a central part of their busy role. Staff rotas showed that there are normally two staff members on duty but always enough to ensure that whatever activities were planned for people could be fulfilled regardless of the time of day. As well as their care tasks support workers also carried out cooking duties. The home has a housekeeper who carries out most of the domestic tasks around the house. No outside agency staff are used by the home. On-call arrangements were in place for support workers to access when they were working alone. The registered manager and other manager’s within the organisation were not featuring on the rota, which did not give an accurate record of staffing and management arrangements. This matter was addressed during our visit. All support workers hold NVQ Level 2 and two also hold NVQ Level 3 with a third working currently working towards completion. The home exceeds the national minimum standard, which states that at least 50 of care staff should have this qualification. On checking the recruitment documents for two support workers, it was noted that the home had carried out Criminal Records Bureau checks. Files also included application forms with employment histories, criminal conviction and medical declarations, photographs and proof of identity. Support workers had received a thorough induction and had attended the Learning Disability Award Framework (LDAF) induction and foundation courses. The home is an active member of Rochdale Adult Care Training Partnership, a group set up by the local authority to promote training opportunities in the care sector. Membership ensures that the home had the opportunity to keep up-to-date with good practice. There is a clear plan in place for further training for the staff team. The up-to-date training list for the staff team identifies that there are no gaps in health and safety mandatory training. The staff team have undertaken training in the Mental Capacity Act. Support workers spoken with said that all the managers were very supportive and approachable. Support workers receive regular supervision from the registered managers. One support worker in a returned survey stated that, “We have supervision every two months but the proprietors are mostly at my place of work so if I have any problems I know I can speak to them. They also give good feedback and praise. If they feel that something is not to the right standard they will speak to you as well.” Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management team is experienced, qualified and committed to ensuring that the home is run in the best interest of the people living there. They are always looking for new ways and ideas to improve the service. EVIDENCE: The registered providers/managers also own two other homes as well as Wellesley House. One provider is registered as lead manager for Wellesley House, with the other having a secondary role. These roles are reversed at one of the sister homes. The third home in the group has another registered manager. The other homes within the group have an excellent and a good quality rating. All three registered manager’s work across all three homes so that their combined knowledge, skills and experience can be used to the best Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 21 advantage. One registered manager holds a post-graduate diploma in special needs. The other was a college lecturer in special needs. Both the providers/managers had undertaken the Registered Manager’s Award training as well as the Learning Disability Award Framework (LDAF) Level 4 training in challenging behaviour. They had also completed the LDAF Assessors Course and kept up to date with mandatory health and safety training courses. They work co-operatively with the CSCI and any requirements made during previous inspections have been acted upon. The needs of the people living at the home are at the heart of the service. Support workers said that the registered managers paid close attention to small detail and expected high standards to be maintained at all times. The managers were said to be very approachable and open to new ideas and would consult and get feedback from everyone concerned before introducing any changes. In a returned survey one person stated, “I would like to thank the staff for looking after me.” Communication within the home takes several forms including verbal handovers, written records, resident and staff meetings. Information gathered is used as a means to improving the service and an action plan is drawn up to ensure that any tasks required are completed. Staff meetings were also used as an opportunity to undertake refresher tests around health and safety practice and to discuss policies and procedures. The providers undertake regular quality assurance exercises that it had included gathering views of a range of people including people that live at the home, relatives, support workers, GPs, health professionals, day centre workers and regular visitors to the home. The home had achieved ‘Investors In People Award’ recognising the commitment to staff training and development. The registered manager completed an Annual Quality Assurance Assessment for us. It was very detailed and gave us a lot of information about the service and the systems they have in place for ensuring that good standards are maintained and a constant strive for improvement. Several safety records were checked including electrical installation, gas safety, portable electrical appliance tests, servicing and tests of fire alarms, emergency lighting, fire fighting equipment, and a weekly check to ensure means of escape routes were clear. There was a range of environmental risk assessments including a fire risk assessment. A valid Employers Liability Certificate was seen. Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 4 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 4 X 4 X X X 3 Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 23 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. 2. Refer to Standard YA20 YA23 Good Practice Recommendations Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: 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 © 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 Wellesley House Residential Care Home DS0000008427.V368198.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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