Care Home: Wensley Street

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What the care home does well People we surveyed and spoke to told us they were happy living at the home. From our observations we would say that people were treated with dignity and respect at all times by the staff team. People at home had access to a complaints procedure, were able to make complaints and there was evidence their complaints were taken seriously and acted upon. Most staff had completed the Mental Capacity Act training; this ensured that staff were aware of how to safeguard people`s rights. Some care staff had been offered adult safeguarding training, in order to safeguard the people they were working with. Safeguarding procedures had been followed and referrals had been made as appropriate to protect people`s welfare. What the care home could do better: All staff needed to be offered adult safeguarding training or refresher training to ensure they understand the procedures to follow should an allegation of abuse be made. In order to safeguard people who lived at the home. The person who has been identified as inappropriately placed at the home needed urgentsupport to find an appropriate alternative place to live, in order to protect their dignity and welfare and to safeguard other people who live at the home. Random inspection report Care homes for adults (18-65 years) Name: Address: Wensley Street 142 Wensley Street Sheffield South Yorkshire S4 8HN three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Shelagh Murphy Date: 2 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: Wensley Street 142 Wensley Street Sheffield South Yorkshire S4 8HN 01142424359 01142448418 denise.nichols@sct.nhs.uk www.syha.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Mandy Michelle Mason Type of registration: Number of places registered: Conditions of registration: Category(ies) : South Yorkshire Housing Association care home 30 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 30 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability Code LD Date of last inspection Brief description of the care home Wensley Street is a care home providing personal care and accommodation for thirty people with learning disabilities. The home consists of six modern houses, each providing places for five people. The houses are clustered together. There is a large garden with a greenhouse and decked area with seating. Each house has a Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home lounge/dinning area and kitchen. All bedrooms are single. There are two bedrooms on the ground floor and three on the first floor of each house. There is a shower on the first floor with a bathroom on the ground floor. The home aims to meet the needs of service users on an individual basis and encourages their independence. People vary in age from twenty-two years to over eighty years, as some people have lived at Wensley Street for over 20 years. The home is situated near to shops at Firth Park and near to public transport. The weekly fees are £315.00 and do not include costs for leisure, hairdressing, chiropody treatment, toiletries, activities, transport and clothes. Tenants/relatives and other interested parties are able to have access to inspection reports by requesting them from the home. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: The last key inspection at this service was carried out on 19 June 2007 and the service was rated as a 3 star, excellent service. The quality rating of this service will not change as a result of our findings at this random inspection. The quality rating for this service is still three star. This means that people who use the service experience excellent quality outcomes. This was a random inspection carried out by Shelagh Murphy (Regulation Inspector) and Jill Wells (Local Area Manager) on 29 April 2010 from 9:40am to 11:50am. This inspection was carried out as the service had not had an inspection for three years and we wanted to ensure that people were still receiving a high quality service and that they were safe. We used a variety of information as well as our findings from the visit to assess the quality of service offered to people who live at this home. The Annual Quality Assurance Assessment (AQAA) report was sent to us prior to the inspection. This report detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. We received two surveys from staff and two from people who lived at the home, all were very positive about the quality of service offered to people at the home. On the day of the site visit, an opportunity was taken to inspect a sample of care records, check records relating to the running of the home and to check some of the homes policies and procedures. The inspector checked the key standards relating to Complaints and Protection. There were no requirements outstanding from the homes last key inspection in June 2007. 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 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. We wanted to check standards relating to complaints to ensure that people and their representatives were confident their complaints would be listened to, taken seriously and acted upon. We checked the homes complaints procedure and found that people who lived at the home and their representatives had access to a complaints procedure, which was available in both written and pictorial formats. This ensured that peoples specific needs were recognised in order to protect their rights. We checked the complaints records and found that three complaints had been made since April 2009. One complaint was from a relative and two were from people who lived at Care Homes for Adults (18-65 years) Page 4 of 10 home. The records were comprehensive and detailed the date of the complaint, nature of the complaint, action taken to resolve the complaint, the outcome and complainants response to the action taken. All three complaints had been upheld and managed appropriately within a 28 day timescale. All of the records had been signed and dated by senior staff. This told us that the home was listening to peoples concerns and acting upon their complaints appropriately. We also found evidence in three care plans that service users had been given a copy of a complaints procedure in an appropriate format to meet their needs. We asked people who lived at the home if they knew how to make a complaint and they told us, I am never unhappy, so why would I need to make a complaint. I would tell my key worker or the manager if I had a problem. I am very happy here, Ive lived here since 2002. This told us that people knew how to make complaints and felt reassured they would be listened to and action taken to address their concerns. We were told by the deputy manager that the majority of staff had completed, Mental Capacity Act, training over the last two years. Evidence we checked from training records sent in to us confirmed that 15 staff had completed this training over the last two years. This ensured that staff were aware of this legislation and how they should implement it in practice to safeguard peoples welfare and rights. We also wanted to check standards relating to protection of vulnerable adults to ensure that people were protected from abuse or the risk of abuse. We asked for the staff training matrix and found that eight care staff had completed the updated adult safeguarding training in 2009. This ensured that peoples rights were protected. The other care staff had completed adult protection training in 2006 and 2007 but now needed to be offered adult safeguarding training as the local procedures had changed. This was discussed with the deputy manager who agreed that staff would be offered this training as a priority. We spoke to two staff to check their understanding of the local adult safeguarding procedures and they told us they has some understanding of the procedures, but both were vague on the details of the procedures to follow. One member of staff said they would report all concerns or allegations to their line manager, but another member of staff said they would try to ascertain information about the incident from the alleged perpetrator prior to taking the allegation to their line managers and this did not follow the procedures and could place people at risk of harm. This demonstrated why all of the care staff need to have adult safeguarding training as a priority. Care Homes for Adults (18-65 years) Page 5 of 10 The team leader confirmed and we saw evidence that a copy of the new local area safeguarding adults procedure was available in the staff office for all staff to access as required. We were also told by the manager that the home had a whistle blowing policy and procedure. The staff we spoke to were aware of this and one person said they had used the procedure in the past to alert managers to poor practices. They told us they were listened to and appropriate action was taken to deal with the matter. This was good practice and helps to protect peoples welfare. The team leader told us there had been three referrals made to the local adults safeguarding team over the last 18 months and that they had all led to safeguarding investigations. This demonstrated the home was using the safeguarding procedures appropriately in order to protect people. The referrals all related to the challenging behaviour presented by another person who lived at the home. The investigations were all ongoing as it had been identified that one person was inappropriately placed. However, we were informed that although the person had been assessed as needing an alternative placement some time ago they had not yet moved. The process to find this person a placement was in the hands of the local authority social work team. The team leader told us that this process had been ongoing for months and needed to be resolved in order to fully protect three people who lived at the home and the person who presented challenging behaviour. We would agree with this, therefore urgent action needed to be taken by the registered manager to ensure this was resolved as a priority in order to protect the safety and dignity of the four people concerned. What the care home does well: What they could do better: All staff needed to be offered adult safeguarding training or refresher training to ensure they understand the procedures to follow should an allegation of abuse be made. In order to safeguard people who lived at the home. The person who has been identified as inappropriately placed at the home needed urgent Care Homes for Adults (18-65 years) Page 6 of 10 support to find an appropriate alternative place to live, in order to protect their dignity and welfare and to safeguard other people who live at the home. 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 2. Care Homes for Adults (18-65 years) Page 7 of 10 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 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, 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 1 23 13 All staff must be offered adult safeguarding training or refresher training. In order to protect people from abuse or the risk of abuse. 05/10/2010 2 23 13 Urgent action must be taken 05/08/2010 to find an alternative placement for the person identified. In order to protect the persons dignity and welfare and to safeguard other people from the risk of abuse. 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 23 All staff should have the opportunity to complete the Mental Capacity Act training. In order to understand how to protect peoples rights. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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