Care Home: Whitewater Road

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well The care plans are very good.Residents are helped to make choices.Residents are helped to do things safely.Residents keep in contact with their familiesResidents are helped with their health and hygieneResidents are kept safeResidents live in a nice clean homeResidents are supported by well trained staff who have been checked to make sure they are the right sort of person to help others.The home is run in the best interest of residents. What has improved since the last inspection? There have been some changes made to what is recorded about residents in their care plans. What the care home could do better: Residents must be able to go out more often if they want toResidents must be able to complain if something is not rightMake sure rubbish is not left lying around Key inspection report Care homes for adults (18-65 years) Name: Address: Whitewater Road 1A - 1B Whitewater Road Ollerton Newark Nottinghamshire NG22 9XF The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Stephen Benson Date: 1 4 0 9 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. They reflect the things that people have said are important to them: 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 Care Homes for Adults (18-65 years) Page 2 of 32 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 mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Whitewater Road 1A - 1B Whitewater Road Ollerton Newark Nottinghamshire NG22 9XF 01623836648 01623836648 joanne.allsop@mencap.org.uk www.mencap.org.uk Royal Mencap Society care home 12 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 12 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is 12. The registered persons 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 are within the following category: Learning Disabilities - code LD. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home Whitewater Road is a care home where up to 12 men and women who have a learning disability can live and be helped. It is owned by MENCAP Greenfields is in a place called Ollerton which is in Nottinghamshire, where there are shops, churches and other places to visit, including places to eat. The home is made up of a house and two bungalows which have their own lounge, dining room, kitchen, toilets, bathroom and shower room. There is not a lift in the house Care Homes for Adults (18-65 years) Page 5 of 32 Anyone can ask to see the latest inspection report, statement of purpose and service user guide. The fees range from £336.00 to £416.00 depending on dependency needs. Care Homes for Adults (18-65 years) Page 6 of 32 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 Care Homes for Adults (18-65 years) Page 7 of 32 How we did our inspection: This is what the inspector did when they were at the care home We visited the home in October 2009 and we met with staff and people who use the service. We asked staff about what they do for people We looked at peoples records. We wanted to see what information it had and where it came from. We wanted to see if people are happy with their service. We also looked at staff files to see if they are safe to work with people. Care Homes for Adults (18-65 years) Page 8 of 32 We looked at other paperwork and information the service has sent to us. What the care home does well The care plans are very good. Residents are helped to make choices. Care Homes for Adults (18-65 years) Page 9 of 32 Residents are helped to do things safely. Residents keep in contact with their families Residents are helped with their health and hygiene Residents are kept safe Care Homes for Adults (18-65 years) Page 10 of 32 Residents live in a nice clean home Residents are supported by well trained staff who have been checked to make sure they are the right sort of person to help others. The home is run in the best interest of residents. What has got better from the last inspection Care Homes for Adults (18-65 years) Page 11 of 32 There have been some changes made to what is recorded about residents in their care plans. What the care home could do better Residents must be able to go out more often if they want to Residents must be able to complain if something is not right Make sure rubbish is not left lying around Care Homes for Adults (18-65 years) Page 12 of 32 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stephen Benson Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Contact Centre 03000 616161 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 13 of 32 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 14 of 32 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. Anyone new moving into the home would be a major event for the other residents and would need careful planning. Evidence: We were told in the assessment they completed that, Mencap give clear guidance on new admissions and vacancies at the service. There have not been any admissions to the home for many years, one member of staff, who has worked at the home for 14 years, said there had not been anyone new come to the home in her time there, but any new admission would be dealt with in a planned and individual way. Care Homes for Adults (18-65 years) Page 15 of 32 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. People have greater opportunities to make choices and take planned risks due to a well thought out care planning system that promotes their wishes and preferences. Evidence: We were told in the assessment they completed that, We have detailed support plans that are person centred and clearly identify peoples needs and preferences and how to support them with these. We have developed person centred activity plans, place mats, communication passports, one page profiles. A sample of four care files were seen and these included the information described in the assessment. The files included assessments carried out under the Mental Capacity Act and care plans were regularly reviewed and updated. There was an agreement form signed by relatives and the use of pictures and symbols made them easier for residents to refer to. Staff said they found the care files very useful and they gave an insight into the resident. Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: Care plans seen provided step by step descriptions of how residents needs should be met and in our survey forms, 8 residents said carers listen and act on what they say and 1 person said they usually do. Comments made included, Staff know me and how I act if I want something, Sometimes my request cant be met at the time I request them and I may have to wait. and I cannot talk but communicate by facial expressions and let staff know I am unhappy. Another resident told us, I have rituals I need to carry out and my carers understand most things and my carers understand me. These include following a set pattern before leaving the home to go to the day centre, which was recorded in the care plan and had been carried out that morning. There were pictures and symbols seen around the home to help people make decisions. staff said all residents lack the capacity to make decisions, however many of the staff have worked with them for a long time and know them well. Staff also said they try things out with them to see if they like them, and they can usually tell what they do and do not like. Staff were seen putting new curtains up to help residents choose the paint colour for the sitting room in one bungalow when they return from day centre. There were risk assessments completed for promoting health and personal care as well as various activities. One resident had a risk assessment for swimming and another for ice skating. Care Homes for Adults (18-65 years) Page 17 of 32 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents maintain relationships with their families, but do not have sufficient opportunities to follow their social interests. Residents are provided with a balanced diet and able to eat meals they enjoy. Evidence: We were told in the assessment they completed that, We have a weekly activity plan for people we support. All service users except one attend a local day centre and residents were seen being taken by staff in the morning. The resident who does not attend a day centre remains at the home and spends his time with staff including going on some outings. However there is no plan as to what the resident does and only trips out of the home are recorded so it s not possible to see how the resident spends his time. Residents have some opportunities to go out into the local community during the week, however in our survey forms residents commented they can do what they want within Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: reason and staffing levels, Staffing levels are sometimes low and other residents and I cannot get out into the community as much as we would like and It depends on staffing levels, outings and trips have to be planned. There were pictures of activities each resident likes to do in the care files, however records did not show the majority of these taking place. Staff said they have discussed staffing levels in meetings and although there had been some improvement in the opportunities for people to go out there could be a lot more. One resident had just returned from a weekend with his family and said, We went to the Badger (a pub). Another person had been visited by his sister recently and a record of when residents have contact with their families is made in their care files. Staff said the daily routines are organised around peoples daily needs and commitments. The routines at weekends and holiday times are more relaxed when not going to the day centre. In our survey forms, 3 residents said they always make decisions about what they do each day, and 8 residents said they usually do. One resident commented, I am given choices everyday to do with my everyday living, these choices are given to me by the support workers who work alongside me and my choices are carried out according to my risk assessment and care plans and another said, Staff try to judge my moods to help me choose what I want. I get very loud if I dont like something. There is a four week menu which staff said is changed between summer and winter months, and that if someone is not eating their meal they are tried with different things until they do. The menu is displayed in picture format in each dining room. One resident was seen having a late breakfast of cereal as he was going shopping and said, I like flakes. Care Homes for Adults (18-65 years) Page 19 of 32 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. Residents receive the personal support and healthcare they require to promote their well being. Evidence: We were told in the assessment they completed that, People have detailed support plans that identify what support they need with personal care. Staff were seen providing differing levels of support to different residents when getting them ready to go to day centre, and information about the support they need was clearly stated in the care plans, which staff said they follow. Each resident has a personal health file and health action plan. Records made showed residents having routine health checks, including sight and hearing tests. One resident recently had some new glasses and these were taken for repair when a lens was scratched. Staff said they are currently looking at providing oxygen for one person as it has been advised this may help recovery from major seizures. Records showing the storage and administration of medicines were fully completed, and Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: showed residents having their medication when required. Care files showed there are regular medication reviews. Care Homes for Adults (18-65 years) Page 21 of 32 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. Residents cannot make use of the complaints procedure, but they are protected from abuse. Evidence: We were told in the assessment they completed that, We have a new updated comprehensive compliments and complaints management system. We have an adult protection policy and are clear about our responsibilities to work within the local authority vulnerable adults procedures. There were no records made of any complaints or compliments in the file designated for this. Staff said they had not discussed how residents would be able to access the complaints procedure when they have been assessed as not having the capacity to do so, and could think of situations where they may have done so if they did have the capacity. Comments made on our survey forms included, I have limited understanding but if I was upset my carers would know and act accordingly, I do not have much understanding but if I was upset about anything I would show it in my behaviour and my carers would pick up on this and act accordingly, Staff and family use what they know about me to tell if I am unhappy, I am unable to speak but can communicate in my own way to let staff know I am unhappy and Make my feelings known by facial expressions and signing. There has been one safeguarding referral and investigation in the last year about an incident between two residents, and appropriate action was taken. Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: Staff were asked to describe the safeguarding adults procedures and were able to do so, and showed they understood the different types of abuse that can occur. One member of staff went to get the procedures from the office when uncertain about one question. In our survey forms all 11 residents said staff treat them well. Care Homes for Adults (18-65 years) Page 23 of 32 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. Residents live in a home that is comfortable and clean although they could get ill when waste matter is not correctly disposed of. Evidence: A tour of both bungalows was undertaken and both were suitably furnished, clean and fresh. One bungalow was well decorated and the other is due to be decorated next week. In our survey forms, 10 residents said the home is fresh and clean and 1 said it usually is. There was protective clothing available and staff have had training on infection control. Staff were seen wearing protective clothing when providing personal support to a resident. The yellow bag system is used for disposing clinical and soiled waste, and both bungalows have a yellow wheelie bin for this purpose, however one bin was overflowing and had bags on the ground, and the other was half full. Staff said this was unusual but did not know why it had happened. Care Homes for Adults (18-65 years) Page 24 of 32 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. Residents have their needs met by staff who are provided with the training they require to do this. People are protected by recruitment practices in the home. Evidence: The area manager said during a telephone call that additional staffing had been secured for 2 residents and that a discussion had been had with staff about being more flexible with the rota. Staff said that they now increase staffing levels at certain times of the day when needs are higher, however it was also said that this is making staff worn out and having to work additional hours. We were told in the assessment they completed that, All new staff receive an in depth induction. All staff have a continuous professional development file and are supported within supervision to keep this document up to date. All staff receive regular supervision and annual appraisal. We were also told that there are 15 staff who have a professional qualification. A sample of staff files were seen and these were well organised. They showed the required recruitment checks had been carried out prior to employment and that staff receive the training they require. There were also supervision records seen as well as an Care Homes for Adults (18-65 years) Page 25 of 32 Evidence: Annual Performance Review. Staff said they thought the training was good and that they get updates when they need them. Care Homes for Adults (18-65 years) Page 26 of 32 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. There are suitable management arrangements in the home to ensure the home is run in the best interests of residents. Evidence: We were told in the assessment they completed that, Manager completed Registered managers award in the last 12 months and The manager completes a monthly compliance form and the area service manager completes a monthly quality review list. The manager has successfully completed the registered manager process and attends training courses to keep her knowledge up to date. There is a quality monitoring system in place is designed to promote continuous improvement. Staff described this as brilliant, saying it highlights what needs doing. This provides checks on areas of residents lives, including checking their finances and that they have all the required health care checks. The assessment we ask the provider to complete and send back to us was returned on Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: time. The information contained in this was detailed and included the views of people living there, and reflected what we saw when we visited. We were told in the assessment they completed that equipment is serviced or tested as recommended by the manufacturer or other regulatory body. Dates were provided showing this to be the case. Care Homes for Adults (18-65 years) Page 28 of 32 Are there any outstanding requirements from the last inspection? Yes  No  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 29 of 32 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 Description 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 Description Timescale for action 1 13 16 01/12/2009 Each resident must have regular opportunities to take part in social activities and outings according to their wishes. This will ensure residents have a fulfilling social life. 2 22 22 All residents must be able to 02/11/2009 access the complaints procedure if the need arises This will ensure residents can raise things they are not happy about. 3 30 13 Ensure all clinical and soiled waste is safely disposed of. 21/09/2009 This will prevent residents facing the risk of infection. Care Homes for Adults (18-65 years) Page 30 of 32 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 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 03000 616161 or 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - 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!