Inspection on 15/08/07 for 1 and 2 Westbury Way

This inspection was carried out on 15th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

1 and 2 Westbury Way 01/11/06

1 and 2 Westbury Way 08/11/04

1 and 2 Westbury Way 07/06/04

1 and 2 Westbury Way 28/01/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1/2 Westbury Way Aldershot Hampshire GU12 4HE Lead Inspector John Vaughan Unannounced Inspection 15th August 2007 10:10 1/2 Westbury Way DS0000012084.V343004.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 1/2 Westbury Way DS0000012084.V343004.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. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1/2 Westbury Way Address Aldershot Hampshire GU12 4HE 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) 01252 311 852 01252 311 852 info@new-support.org.uk www.new-support.org.uk New Support Options Limited Mrs Mary S Whitford Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users only to be admitted between the age of 18 - 60 years. One named service user over the age of 65 to be accommodated. Date of last inspection 1st November 2006 Brief Description of the Service: 1 an 2 Westbury Way is a care home providing personal care and accommodation in single bedrooms for up to six persons with a learning disability. New Support Options Ltd, who are also responsible for similar services across the Southern Counties of England manage the service. The home is located in a residential area within a mile of Aldershot town centre. Local amenities are accessed with the home’s minibus. The purpose built home is comprised of two three-bedroom bungalows, which are linked by an office, and multi sensory room. Each bungalow also has a lounge, laundry, assisted bath, toilets, kitchen/diner and its own garden. Parking is available. The current fees for the home are £1357.18 per week. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met with people using the service, staff members and the manager of the home during the visit to the service, which took place over one day. During the visit the inspector spoke to people about their experiences of the home, observed people and staff, sampled records, interviewed staff and looked and the facilities and environment provided for people who live in the home. The inspector also reviewed information held by the commission including previous reports, incident reports and the Annual Quality Assurance Assessment (AQAA) provided by the manager of the service. Surveys were sent out to people who use the service, families and healthcare professionals as part of the preparation for this inspection and the responses received were very positive and are included in this report. What the service does well: People benefit from a well managed and varied activity programme that has been put together based on their individual needs and interests which includes trips out, walks, shopping, art and craft, hydrotherapy and sensory stimulation. Detailed care plans support the people with their assessed needs and these are reviewed with the individual on a regular basis. Support has been enhanced with person centred support plans and health action plans that are accessible to people who use the service. The home has a very comfortable and relaxed atmosphere and people who use the service and staff talked together. The inspector saw positive contact between the staff and people who live in the home. A menu plan has been developed to give choices to individuals on a daily basis. People are supported and encouraged to keep in contact with families and friends. The home is clean and tidy and free from any unpleasant smells. Rooms are light and bright and have been decorated to a good standard. People who use the service told the inspector that they were happy with their private rooms. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 6 Staff are very knowledgeable on the support and communication needs of people they support. The staff team are supported to develop their skills through a good training and development programme. 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. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who wish to use this service are only admitted to the home following a full assessment of their needs. EVIDENCE: The home has had no new admissions in over four years. The inspector spoke to the manager about the admission practices of the home. The manager confirmed that admission and discharge policies and procedures are in place and they are followed when new people are looking to move into the home. Individuals are supported to visit the home, meet other people who use the service, have a meal and if possible stay over night. A full assessment of the person’s needs is completed by the manager and area manager involving the person’s family and representatives in the assessment process. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The approach of the service in planning for the needs of the people they support means that the person can be confident that their needs will be responded to with detailed, accessible and meaningful plans that place them at the centre of the support they receive. EVIDENCE: The inspector looked at three peoples care plans and the newly developed person centred plans for two people who use the service. Each of these plans had very clear and specific information covering all areas of daily life. These plans are regularly reviewed and updated by the manager and the person’s key worker. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 10 Detailed guidelines and strategies are contained within the plans giving staff information on how to support the people who use the service. Communication strategies are in place to help staff to understand the best way of involving the individual in daily life. The needs of people supported by this service are complex and the information within people’s plans provide very clear information of how the person makes their needs known and how staff should respond to these needs. The manager told the inspector about the newly developed person centred plans. These cover areas that are important to the individual and were completed with the input of the individual and others who know the person best. These plans were very different from each other and reflected the personalities and interests of each of the individuals. Pictures, symbols and photographs were used to illustrate each of the areas in the plans such as relationships, important information, things I do, communication and places I like to go to. A separate health action plan also follows the same accessible format to present the information in a meaningful way to the individual. The home has introduced “circles of support” to explore the aspirations of the people they support with people who are important to the individual and know them well. This approach is intended to help the person to plan for their future, review their support and keep their plan up to date. The manager said that they intend for this to be introduced to all people they support. During the visit to the home the inspector observed staff interaction with people who use the service. The approach of staff members supported people to make choices and understand what was happening during activities. The staff gave information and guidance in sensitive and meaningful ways to meet their needs. Support plans are also in place to provide guidance for staff on how to support people with sensory needs. Throughout the visit staff were seen to offer people choices and support to make decisions about meals, drinks and preparation for activities. Risk assessment strategies were in place and areas covered included day-today activities inside and out of the home, medication, mobility and behaviour. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service continue to benefit from a wide range of activities based on their assessed needs and interests together with a balanced and varied menus offering choices and healthy options. EVIDENCE: On the day of the visit people went out supported by staff to have a pub lunch. Another person went out with their community support worker. The home uses a detailed diary system to record and evaluate the activities and community participation of people who use the service. These diaries confirmed that people are supported to go out shopping, visit local pubs and 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 12 cafes, attend structured activities and participate in the daily activities of the home. People are supported to maintain family relationships and most people have regular visits from family members. One person had a visit from a family member on the day of the inspection. The development of “circles of support” gives the opportunity for family members to play an active part in their relative’s life. The inspector saw care plans that recognised and supported important relationships. Positive comments were received form family members about the care and support the people who use the service receive. Daily routines in the home promote the independence of people who use the service. The complexity of the needs of people means that taking part in household activities such as preparing meals are physically difficult. The inspector observed people taking part by observing and experiencing this activity and staff interacted with them throughout this time. Staff were observed knocking on doors and asking for permission before entering. The manager also asked individuals for permission to share information with the inspector. The inspector observed people who use the service and the staff team and noted very positive interactions as they discussed programmes on the TV and talked about the preparations for lunch. Through discussions with staff the inspector confirmed that there is a very high level of understanding of people’s needs and how to communicate with each person. The meals observed by the inspector were unhurried and staff provided sensitive support to people who need assistance to eat and drink. Menu plans were seen and these were balanced and varied. Staff told the inspector that they plan the menu with reference to the individual likes and dislikes of people they support. The inspector received positive feedback from the dietician who supports one of the people who uses the service. They stated that the staff team meets the individual’s needs in respect of nutrition and are proactive in seeking out the best possible care for the person. A staff member told the inspector about how they are supporting another person with healthy options as part of their health action plan. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical and emotional needs of service users are well met and the medication practices demonstrate that people using this service are kept safe. EVIDENCE: The inspector saw evidence of contact with General Practitioners, dentists and specialist consultants and a record is maintained of contact with health professionals. Detailed health action plans are in place to support people with their healthcare needs. These plans have objectives that the staff and healthcare professionals are supporting people who use the service with. These are in a pictorial format to help the person understand the plan. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 14 One person is being supported to improve their meal choices to healthier eating options and the plan documents a goal of reducing the person’s cholesterol levels. The inspector spoke to staff who were fully aware of this goal and could tell the inspector about what they are doing to help the person have a healthier lifestyle. The inspector received feedback from a General Practitioner and dietician that confirmed the service provides proactive and responsive support to people to promote and maintain their health. The medication is stored in a secure cabinet. Medication records were checked and found to be up to date and accurately completed. The manager is now carrying out six monthly competency assessments for all staff who administer medication. The inspector noted clear information on the use of when required medication, which is generally for pain relief supported by risk assessments and authorisation from the persons GP. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service and their representatives can be confident that their concerns would be listened to and acted upon and the homes policies and procedures help to protect people from abuse. EVIDENCE: The home has a complaints procedure that has been made more accessible to people who use the service. The complaints log was seen confirming that no complaints have been made since the last inspection. The home has a copy of the multi agency adult protection policies and procedures for Hampshire. They also have their own policies and procedures on protecting people from abuse and a whistle blowing policy. Staff receive training with regard to the protection of vulnerable adults as part of their induction and training programme. Staff members spoken to confirmed that they had received training and were aware of their responsibilities in this area. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service benefit from a well maintained and comfortable home enhanced by individually personalised private rooms and an attractive and accessible garden. EVIDENCE: People allowed the inspector to view their private rooms. These rooms were decorated to their personal tastes with pictures, posters and personal items. Equipment is in place to improve accessibility for people who have mobility difficulties. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 17 The inspector saw a well maintained home and the furniture and fixtures in the communal areas were of good quality. A sensory room is located in between the two bungalows and was in regular use throughout the day. The manager told the inspector about the improvements that have taken place in the garden making it a more pleasant and beneficial place for people to spend time. The parents of one person who lives in the home have been involved in improving this area and additional work is planned in the future The home was clean, tidy and free from any unpleasant smells and a utility room contains washing and drying facilities and people are supported to take part and experience the every day housekeeping tasks. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-trained and supervised staff members support people who use this service. The recruitment practices demonstrate that a thorough recruitment procedure is followed to protect people who use the service. EVIDENCE: The inspector looked at the records for two staff who have been recruited since the last inspection. The inspector spoke to the manager about recruitment practices. The inspector saw evidence of two written references, application forms and proof of identity. The information on Criminal Records Bureau (CRB) checks were available for both of these staff members. There is a good mix of staff skills and experience in the home and all staff are encouraged and supported to undertake National Vocational Qualification 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 19 (NVQ) training. The inspector spoke to staff who confirmed that they undertake induction training and have been encouraged to attend training to meet their needs as well as the needs of the people who use the service. Staff told the inspector that they have completed a Learning Disability Awards Framework (LDAF) induction and an NVQ level 2 award. They are now completing a NVQ at a higher level. A new course has been introduced by the organisation to ensure updated practice and consistency in approach from all staff. The staff member stated that they are going on this five-day course. Mandatory training is carried out in; moving and handling, fire safety, medication, first aid, health and safety, food hygiene and infection control. Additional courses are available on the specific needs of the people who use the service such as epilepsy, communication, person centred planning and training needs are discussed at supervision sessions. The staff team demonstrated a high level of understanding of the needs of the people they support. The inspector observed positive interaction throughout the day and staff could talk with confidence on the needs of people and how they supported them. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is managed in an effective and open manner, a system is in place to develop the service with views from people the service supports and their families included in this process and the home’s equipment is maintained and serviced to keep people safe. EVIDENCE: The home is run by Mrs Mary Whitford an experienced manager who is currently undertaking her Registered Manager’s Award (RMA). The inspector received very positive feed back from the staff team on the approach of the manager and her commitment to and support of the team. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 21 The views of people who use the service are obtained through staff interaction and this is fed back to the manager through team meetings, house meetings and also key worker and care planning reviews. The organisation has its own quality assessment process and all services are audited annually. The inspector noted a number of quality initiatives are underway within the home and the organisation as a whole. These focus on inclusion and support people to have a voice both to comment of the service they receive and influence the decisions the organisation makes. The manager provided evidence of a service development plan that is part of the regional and corporate plan in turn. The inspector could seen from this information that outcomes for people who use the service are integral to this plan. The development of person centred plans, support circles assist the individual to have their say about the service and this involves people who are important to the individual advocating on their behalf. The inspector confirmed by examining the homes servicing records and in formation supplied by the manager in the AQAA that the alarm system has been serviced regularly. Weekly alarms tests are completed, a fire drills and staff training in fire safety take place regularly. The inspector was also shown flash cards on fire safety and evacuation that are used at house meetings to help people understand the fire evacuation procedures. 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 1/2 Westbury Way DS0000012084.V343004.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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