Care Home: Wentworth View

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What the care home does well Wentworth View provides a homely safe environment for people. Activities were varied and appropriate for people. People told us they enjoyed the activities. What the care home could do better: The acting manager and staff have worked hard over the last few months to meet all the requirements from the previous inspection in September 2009. The acting manager needs to continue to implement the improvements identified, which will ensure the service continues to improve outcomes for people living at Wentworth View. Random inspection report Care homes for adults (18-65 years) Name: Address: Wentworth View 15 Brampton Road Wath Upon Dearne Rotherham South Yorkshire S63 6AN one star adequate 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: Sarah Powell Date: 1 2 0 5 2 0 1 0 Information about the care home Name of care home: Address: Wentworth View 15 Brampton Road Wath Upon Dearne Rotherham South Yorkshire S63 6AN 01709871116 Telephone number: Fax number: Email address: Provider web address: wentworth.view@craegmoor.co.uk www.craegmoor.co.uk Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sapphire Care Services Limited care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The maximum number of service users who can be accommodated is: 4 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 Wentworth View is a care home for younger adults with a learning disability. The home is registered for four people. The home is situated in a large village close to Rotherham. There are local facilities including shops and churches. Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home It is a detached house with a comfortable and homely feel; there is a kitchen dining room, a large lounge and a conservatory. Four single bedrooms two with en-suite facilities and a communal bathroom. The garden is small but well maintained and meets peoples needs. The fees at Wentworth View at the time of this report September 2009 range from £1698.44 - £1727.50 per week. Additional charges are made for chiropody, hairdressing some activities and outings. The home has a copy of the latest inspection report, the Statement of Purpose and Service Users Guide. These were available. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This unannounced random visit was carried out as part of our inspection programme. Random means we will look at specific areas, this visit we looked at the outstanding requirements and recommendations from the previous inspection. The service had its last key inspection in September 2009 and achieved a one star adequate rating, which means the outcomes for people living at Wentworth View were adequate. The quality rating will only change following a key inspection. Therefore the rating for this service will stay the same following this random inspection. This site visit was carried out on 12 May 2010 commencing at 12:30 and finished at 16:00. During the visit we talked to two members of staff, two people living at Wentworth View and the acting manager. We also looked at relevant paperwork. We looked at two peoples plans of care. The assessment of needs had been completed, however this lacked detail and did not clearly explain peoples needs. When we discussed this with the acting manager, she told us the people had a full review by the placing authority in April 2010. These reviews were filed in the office, they were comprehensive and showed peoples changing needs. These should be kept in the plans of care for staff to be able to access, this will ensure peoples needs are met. When we looked at one plan in detail, the persons needs had been identified and measures in place for staff to follow to meet their needs. Risk assessments were also in place to ensure people were able to take risks as part of an independent lifestyle. However these were all recorded on different formats and not easy to locate in the plans. Following discussions with the acting manager, she told us that one format would be chosen and used. This would ensure staff could easily locate information in the plan to meet peoples needs. The acting manager told us she was looking at developing the activities further. She was currently identifying new activities and needed to determine from the people living at Wentworth View, what they would enjoy. The staff were also taking pictures of activities to help people choose what they would like to do. We looked at staffing numbers and training during the visit. Support staff had been recruited and the acting manager told us she was currently recruiting more staff, to ensure peoples needs were met. The staffing rota showed two members of staff were on duty from 8am until 10pm each day. One waking night was on duty from 10pm until 8am. The acting manager told us an on call system was also in place for nights. If any problems were identified and more staff were required to meet peoples needs, the person on call would be asked to come into work. The acting manager told us she tried to get one office day a week to ensure management duties were completed. Staff we spoke to told us that there was always adequate staff on duty, if they were short they would cover shifts. This ensured there was always the correct number of staff on duty. They told us that the home had improved over the last few months, better communication and management. Care Homes for Adults (18-65 years) Page 4 of 8 Staff training was much improved, most staff had completed the mandatory training to ensure peoples needs could be met. The staff still to attend training had places allocated on courses. The acting manager showed us confirmation that training was booked for those remaining staff. The acting manager told us, there had been no adult safeguarding referrals over the last year. The acting manager told us all staff had received training in adult safeguarding and all staff know how to report an alleged incident to safeguard people. Staff we spoke to were all aware of the safeguarding procedures and what to do if an alleged incident occurred. This ensured people were in safe hands at all times. The acting manager told us she was aware of the need to look at the Mental Capacity Act (MCA)and Deprivation of Liberty safeguards (DOLs) in regard to the people living at Wentworth View. This was to determine people were not deprived. This will ensure peoples needs are met. We received 2 completed surveys from peoples relatives. The comments were mostly positive. Some comments were; The care is very good. The activities are very good. The only negative comments were regarding staff turn over. This had been high over the last year with change in managers, staff had left. However over the last four months the staffing team had been stable. Which has been much better for the people living at Wentworth View. Since the visit the acting manger has been appointed manager and has commenced her application to become registered with The Care Quality Commission. We also looked at staff recruitment, The files were well organised and easy to locate information. We looked at one staff file in detail, all the required documentation was available. Two references, a Criminal Record Bureau check, an application form and any gaps in employment looked at. This ensured the recruitment process was robust and protected people. Feedback was given to the acting manager during and at the end of our visit. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 5 of 8 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 6 of 8 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 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 2 More detail should be in peoples assessments of needs to ensure all needs are identified and met. Placing authorities reviews should also be kept in the plans of care for staff to have access to. Peoples care plans and risk assessment were recorded on various formats and was very confusing. It would be easier to find information if one format was used. Ensure staff training continues and staff attend the courses booked to ensure they are appropriately trained to meet peoples needs. 2 6 3 35 Care Homes for Adults (18-65 years) Page 7 of 8 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. 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