Care Home: Wing Grange

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What the care home does well Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 6There were a numbers of areas of provision that provided excellent outcomes for service users- Choice of Home, Individual Needs and Choices, Lifestyles, and the Environment. As part of the homes assessment process a prospective service user was visiting from another organisation, and was being shown around by a service user living at Wing Grange. A service user told the Inspector, people living at Wing Grange had shown him around he thought this was a good idea and this had helped him decide to live in the home. Regular men`s meeting gives a forum where concerns can be raised. Service users told the Inspector they take it in turns to walk the dog. A group of service users were observed spreading gravel at the front of home as part of their work programme. Service users have wide and varied opportunities to engage in vocational, leisure and community activities. Service users and staff sell vegetables every Wednesday at a weekly market in Oakham. A range of fresh produce is grown off the land surrounding the home. Two service users told the Inspector. They enjoyed doing this. One person said "We get things ready the day before. It`s very busy and do the market stall for one day and no longer. I relax when I get back." Another service user told the Inspector "I like gardening and can do gardening whenever I want." One service user told the Inspector "You just tell the staff and they listen and try and sort things out for you. They go above and beyond what they should do." Wing Grange is a large historic building with large grounds surrounding the house. All areas of the home viewed were clean and tidy and fresh. On the ground floor there are two comfortable lounges (one designated for smoking) a large conservatory with views over open countryside and a large dining room. There is wooden garden furniture outside. All service users partipate in the cleaning and the upkeep of the home for which there is a cleaning rota. Other service users told us, "I know who my key workers are and can talk to them. I can talk to any of the staff." "I have lovely view from my bedroom. It`s nice in the morning. I am responsible for cleaning my own bedroom. We clean the bathrooms. I like to go to town, but can`t wait to get back here, as there are too many people around me. Here it`s nice and quiet." "The manager`s very approachable and you can tell her anything."" We get to know the people who live nearby through people going to the different church services. They pick us up in the car to take us to service. I would like to move and live around here as I have got to know people." What has improved since the last inspection? Medication management has improved. Staff responsible for administering medication receive regular training. Support plans and risk assessments round medication have been updated. The fire risk assessment has been relocated for easy access. These improvements ensure service health and safety needs are met. What the care home could do better: Update the complaints procedure and review the staff recruitment procedures. These steps will ensure service users are listened to, supported and protected. CARE HOME ADULTS 18-65 Wing Grange Preston Road Oakham Rutland LE15 8SB Lead Inspector Helen Abel Unannounced Inspection 29th July 2008 11:15 Wing Grange DS0000006466.V369225.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 Wing Grange DS0000006466.V369225.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. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wing Grange Address Preston Road Oakham Rutland LE15 8SB 01572 737246 01572 737510 mmerwe@langleyhousetrust.org 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) Langley House Trust Vacant Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12) of places Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 26th September 2006 Brief Description of the Service: Wing Grange is a residential home owned by the Langley Trust, which provides care and rehabilitation for men who are ex offenders or at risk of offending. It is situated overlooking open countryside, just outside the village of Wing. The house is surrounded by large grounds, which are used by the residents to grow produce for the community. Residents are involved in training and education programmes to help them develop skills. Residents have access to local transport nearby, and the towns of Oakham and Uppingham are a few miles away. The current weekly fees range from £363.80 - £1,140.11 per week. Copies of the current inspection report are available from the home’s office. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for service users and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for younger adults. The Inspector spent time planning the areas to focus on based upon information gained from reviewing the homes service history, the last inspection report, surveys, the last Annual Service Review and the Annual Quality Assurance Assessment. The people living at Wing Grange prefer to be called service users. The primary method of inspection used was ‘case tracking’ that involved selecting three service users and reviewing the care that they received through inspection of the written information available on their care, such as the care and support plans. Discussions took place with service users, staff, and the Acting Manager. The visit was unannounced and started at 11.15 on a Tuesday morning and took place over a period of approximately five hours. In addition policies and procedures and records in relation to service users, staff recruitment, complaints, and general maintenance and upkeep of the home were viewed. The Acting Manager has submitted an application to the Commission for Social Care Inspection (CSCI) to be considered as the registered manager of the home. A major variation application has also been submitted around the provision expanding and developing. Due to the service user personal capacities, we will not be providing the inspection report summary in an easy read format. The quality rating for this service is 2 star. This means the residents who use this service experience good quality outcomes. What the service does well: Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 6 There were a numbers of areas of provision that provided excellent outcomes for service users- Choice of Home, Individual Needs and Choices, Lifestyles, and the Environment. As part of the homes assessment process a prospective service user was visiting from another organisation, and was being shown around by a service user living at Wing Grange. A service user told the Inspector, people living at Wing Grange had shown him around he thought this was a good idea and this had helped him decide to live in the home. Regular mens meeting gives a forum where concerns can be raised. Service users told the Inspector they take it in turns to walk the dog. A group of service users were observed spreading gravel at the front of home as part of their work programme. Service users have wide and varied opportunities to engage in vocational, leisure and community activities. Service users and staff sell vegetables every Wednesday at a weekly market in Oakham. A range of fresh produce is grown off the land surrounding the home. Two service users told the Inspector. They enjoyed doing this. One person said “We get things ready the day before. It’s very busy and do the market stall for one day and no longer. I relax when I get back.” Another service user told the Inspector “I like gardening and can do gardening whenever I want.” One service user told the Inspector “You just tell the staff and they listen and try and sort things out for you. They go above and beyond what they should do.” Wing Grange is a large historic building with large grounds surrounding the house. All areas of the home viewed were clean and tidy and fresh. On the ground floor there are two comfortable lounges (one designated for smoking) a large conservatory with views over open countryside and a large dining room. There is wooden garden furniture outside. All service users partipate in the cleaning and the upkeep of the home for which there is a cleaning rota. Other service users told us, “I know who my key workers are and can talk to them. I can talk to any of the staff.” “I have lovely view from my bedroom. It’s nice in the morning. I am responsible for cleaning my own bedroom. We clean the bathrooms. I like to go to town, but can’t wait to get back here, as there are too many people around me. Here it’s nice and quiet.” “The manager’s very approachable and you can tell her anything.” Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 7 “ We get to know the people who live nearby through people going to the different church services. They pick us up in the car to take us to service. I would like to move and live around here as I have got to know people.” 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. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 8 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 Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 9 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): 1,2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive assessment procedures ensure that service users needs and aspirations can effectively be met. EVIDENCE: A service users guide and statement of purpose is available but is in the process of being updated. The Acting Manager confirmed she will be producing a revised version over the next few weeks, and had already identified the format and wanted to make this a quality document. The Inspector suggested updating the complaints procedure and ensuring the Acting Managers status is accurately reflected. Applicants who either apply or are referred to the service are always interviewed as a means of informing them of the type of service and the facilities at Wing Grange. A prospective service user was seen visiting from another organisation and was being shown around by a service user living at Wing Grange. A service user told the Inspector he had been shown around by people living at Wing Grange Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 10 before he entered the home, and thought this was a good idea. He was able to ask lots of questions and this helped him decide to live at Wing Grange. Staff confirmed visiting a prospective service user in prison to introduce them selves, and help him to prepare for coming into Wing Grange soon. Clear guidelines confirm a comprehensive assessment process and consultation with the service user before a service user comes to live at Wing Grange. A range of professionals involved in a prospective service users care is consulted, and reports from all relevant parties (such as probation officers, social workers and consultant psychiatrists) are obtained and studied by key staff. The prospective service users risk level is assessed. Part of this process involves consideration of the protocols in place with the local community as to the nature of offenders that can be considered for placement. A senior staff member will also visit the prospective service user in their current setting to assess their motivation to change. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 11 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): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are involved in day to day decisions and are well supported to take reasonable risks and excellent support plans accurately reflect their needs. EVIDENCE: Three service users care records were examined. These contained a photograph, and detailed support plans with individual risks clearly identified together with the necessary responses. Daily records are clearly recorded. Any restrictions on choice and activities were documented; this is particularly important given the nature of the service users living in the home. Every service user is assessed for the first 28 days of their stay, within this is a detailed care plan which is completed with service user and his key worker. The plan has a holistic approach with has all areas of the individuals life Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 12 covered which gives the individual the opportunity to set achievable goals towards self development. Risk assessments and care plans are reviewed every 3 months, to show continuity of support for both service users and staff. Providing individual needs through the support plans and personal protocols. Good opportunities are in place enabling service users to participate in the running of the home and the wider organisation. Service users and staff sell vegetables every Wednesday at a weekly market in Oakham. A range of fresh produce is grown off the land surrounding the home. Two service users told the Inspector. They enjoyed doing this. One person said “We get things ready the day before. It’s very busy and do the market stall for one day and no longer. I relax when I get back.” Another service user told the Inspector “I like gardening and can do gardening whenever I want.” Another service user has set tasks in the home, to look after the goats. This is part of his support plan. The goats belong to Langley Trust that provides the service. He has to clean them out and feed them. Hens are also kept and an identified service user has responsibilities for them as well. A service user was observed playing on the lawn with a dog and throwing objects for the dog to retrieve. Service users told the Inspector they take it in turns to walk the dog. A group of service users were observed spreading gravel at the front of home as part of their work programme. This was ongoing all day and service users appeared to enjoy the challenge and stayed longer to finish it. Service users confirmed that they discuss with staff trips and activities that they would like to get involved in. One service user confirmed regular cycle trips to Rutland Water. Trips to local towns by bus and care are arranged for shopping. Some service users have work placements set up in the local area. One service user told the Inspector “ You just tell the staff and they listen and try and sort things out for you. They go above and beyond what they should do.” Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 13 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, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users engage in vocational, leisure and community activities, are given good support in maintaining links with family and friends and enjoy good nutritious food. EVIDENCE: There are regular mens meeting - which gives opportunity to express, discuss and agreed on activities, improvement. There is extensive training programme which includes: safe systems of work, an individualised programme and risk assessment which is incorporated into a file for service users - volunteer opportunities currently open to service users including working with a Church led Youth Centre; increased interest in college courses, and exploration of local adult education. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 14 The 50th anniversary at Wing Grange was a recent event for service users. They contributed to the day by ensuring the home and grounds were looking their best and sharing their stories to an audience. Locals support an outdoors community mosaic with hand painted pebbles sponsored by visitors and customers at the weekly market. Service users in rotation are involved in maintaining the home’s garden and selling the produce at the weekly market. A staff member confirmed providing Art sessions with service users to engage service users residents in therapeutic and worthwhile activities. Service users told the Inspector “ We get to know the people who live nearby through people going to the different church services. They pick us up in the car to take us to service users. I would like to move and eventually live around here as I have got to know people.” Staff confirmed through the weekly market stall, service users are becoming known and recognised by local people. Another service user goes regularly to a local pub with agreed restrictions as confirmed in his support plan. He has built warm and friendly relations with pub staff and local people there. The Inspector observed a hot nutritious lunch being served in the dining area. A gong is sounded to call people to lunch. Staff and service users all sit together. The Inspector noted a lively relaxed atmosphere during the mealtime. Each day a service user is on duty undertaking light food preparation along side the home’s cook. After lunch two service users were seen clearing away and washing up. Menus are planned in consultation with service users and a suggestion box allows service users to give feedback and give any suggestions. A service user told the Inspector “ There is plenty of choice and we can make suggestions.” Daily activities and tasks for individual service users are clearly outlined. These are planned and agreed with individual service users around planning for their future and learning new life skills, and addressing any issues. Two vehicles are available should transport be required. There are bus stops nearby, and some service users can buy bikes from the home (at a reduced rate) to cycle around the many local attractions. Service users confirmed they are appropriately supported in maintaining links with their family and friends, where appropriate. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 15 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive appropriate personal support and their health and medication needs are well met. EVIDENCE: Personal support plans confirmed detail for individual service users to achieve a high level of personal care and a healthy lifestyle. One service user was supported around personal care, and attention to clothes and their laundering. Over a period of time was encouraged to throw away old clothes and purchase new ones and helped to develop confidence in his appearance. There is an emphasis on well being from the fresh food served to the outside activities and opportunities. Apart from mealtimes the Inspector observed the service users were outside and active. This will help develop service users physical and emotional health. A service user confirmed, “Its very relaxing here you can stop and think about your life. I go and do some work outside, Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 16 but there is no pressure. You can stop and take a break or do some work. It depends how you feel on that day.” Staff confirmed helping a service user to establish a prognosis of diabetes, and the subsequent management of insulin injections. Support plans confirm service users have access to primary care services such as general practitioners, dentists, opticians and chiropodists and other medical specialists as required. The medication area was well-maintained and associated medication records were in good order. News staff to join the team have had medication briefings but medication training will follow this up with the local Pharmacist. Medication is administered by staff and maintained with the view to support individual to self-medicate. Staff are aware of the side effects of medication and are aware of when to report concerns. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 17 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, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are listened to and acted upon and good systems are in place to protect them. EVIDENCE: The mens meeting gives a forum where concerns can be raised. The service user guide has a section on complaints and external complaints procedure should they choose to do so. A formal complaints procedure is displayed in the home on the service users notice board, and in the service user guide. A written record of complaints was viewed by the Inspector, including a response made by the company. Other agencies to contact are provided for service users if they wish to complain elsewhere, including the Commission for Social Care Inspection (CSCI). It is recommended the complaints procedure for Wing Grange is updated to include the local CSCI regional offices contact details. It was noted on other paper work around complaints, the CSCI contact details were not stated. In this case the Newcastle head office for CSCI could be included. Clear information would ensure there are systems in place to protect service users. Upon discussion with staff they had good understanding of procedures and protocols with regards to adult protection. The home also has a clear whistle blowing policy and informs staff where they can gain support should they need to raise any concerns. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 18 Good recruitment practices including obtaining Criminal Records Bureau (CRB) checks before staff start work also contribute to good outcomes in terms of protection. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 19 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): 24,25, 28, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, clean, comfortable and homely environment, which meets their needs, EVIDENCE: Wing Grange is set in beautiful countryside on the edge of a small village called Wing near Oakham in Rutland. This is a large historic building with large grounds surrounding the house. All areas of the home viewed were clean and tidy and fresh. On the ground floor there are two comfortable lounges (one designated for smoking) a large conservatory with views over open countryside and a large dining room. There is wooden garden furniture outside. There is an IT training room and IT games facilities. All service users partipate in the cleaning and the upkeep of the home for which there is a cleaning rota. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 20 A service user showed the Inspector his bedroom. He told the Inspector “I have lovely view from my bedroom. It’s nice in the morning. I am responsible for cleaning my own bedroom. We clean the bathrooms. ” He went onto explain “ I like to go to town, but can’t wait to get back here, as there are too many people around me. Here it’s nice and quiet.” A service user told the Inspector about the “great snooker room.” Service users have their own bedroom and front door keys. There are shared and single rooms. One service user felt his room was too small and requested a larger room and was able to move to a bigger room. Earlier in the year a higher budget was identified in order to further improve service users rooms. A service user had just had a new carpet and bed linen and new curtains were being ordered. Service users are consulted about their needs and lifestyles. There is a designated member of staff to manage the repairs and maintenance of the home. A handyman is local and a more specialist contractor is available for breakdowns. All staff have attended health & safety courses, fire safety and have first aid certificates. There are monthly unannounced inspections where all aspects of the home are inspected with a report giving findings and recommendations. A service user from Wing Grange had already attended a National Forum for service users and staff, and is driving through the delivery of Portable Appliance Testing (PAT) training for service users. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 21 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, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are effectively supported and well trained. EVIDENCE: A new staff member confirmed with the Inspector undertaking a formal induction programme over a few weeks. There was allocated time to read support plans around individual service users prior to starting working as a key worker. This had given him time to read and understand about individuals. A service user told the Inspector, “I know who my key workers are and can talk to them. I can talk to any of the staff” There is a comprehensive training programme in place, which includes National Vocational Qualifications and specialist courses such as working with people with mental health needs and specialist risk assessment training. Staff displayed a good understanding of service users needs, histories and care plans. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 22 A staff member told the Inspector he was interviewed for the job by service users and staff and felt impressed by this. Recruitment records for four staff were examined. These contained a completed application form, two written references and evidence that criminal records bureau checks had been completed before staff started working at the home. Their names had also been checked against the vulnerable adults register. The Inspector noticed recruitment records for new staff was not fully available and had been passed back to the organisations head office for processing. The Commission for Social Care (CSCI) Staff Information forms used were not available or had not been completed properly. Copies of key staff recruitment records must be held in the home in readiness for our inspection along side the Staff Information Forms. This will assure service users of the suitability of staff employed in the home. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 23 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): 37,39,40, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Good systems are in place to ensure that service users views inform the way the service is delivered, monitored and improved. EVIDENCE: The Acting Manager has the appropriate qualifications and experience necessary to manage the home. She has been in post for around 4 months and has submitted an application for registration with the Commission for Social Care Inspection (CSCI). A service user told the Inspector “The manager’s very approachable and you can tell her anything.” All staff spoken with gave very favourable comments Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 24 about the Acting Manager. One staff member said “I receive excellent supervision with my manager.” There is also more structure within the management team, with the introduction of monthly reporting to the project manager by deputies which details micro-budget management, staff supervision, and key case file information. Service users rights and best interests are safeguarded by the staffing structure, policies and procedures. There is good attendance on the training programme and service users make suggestions of work that can be done within the training programme including- varnish the floor in the main house and having barbeques. There has also been a significant reduction in offending for some locally funded service users, which was praised by the Community Safety Partnership. Service users are involving in improved diverse training programmes and engage well with the local community. There is overall good consultation with service users regarding the operation and running of the home. This is done in the following ways- participating and drawing up care and support plans, through key working, weekly service users meetings, food & menu meetings, social activities meetings, service user questionnaires, regional forums held four times a year, meetings with the operational director, discussing complaints and harassment procedures. A monthly newsletter from the head office tells service users about developments in their home and other homes run by the trust. This is available on the service users notice board and on the Internet. Service users and staff sit on a health & safety committee, which conducts its own audits and manages remedial action for the home. This is supported by a handyperson with responsibilities for maintaining a safe environment for the service users. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 25 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 3 2 4 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 3 ENVIRONMENT Standard No Score 24 4 25 3 26 x 27 x 28 4 29 x 30 4 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 4 16 4 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 4 x x 3 x Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? 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. 1. Standard YA34 Regulation 7,9,19 Requirement To assure service users of the suitability of staff employed in the home. Copies of key staff recruitment records must be held in the home in readiness for our inspection (along side the Staff Information Forms). Timescale for action 29/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA22 Good Practice Recommendations It is recommended the complaints procedure for Wing Grange be updated to include the local CSCI regional office contact details. Clear information would ensure there are systems in place to protect service users. In respect of other Langley national information around complaints. The Newcastle head office for Commission for Social Care Inspection (CSCI) contact details could be included. Wing Grange DS0000006466.V369225.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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