Inspection on 01/08/05 for 15a Worsley Road

This inspection was carried out on 1st August 2005.

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

15a Worsley Road 29/05/09

15a Worsley Road 24/04/07

15a Worsley Road 30/01/06

15a Worsley Road 24/02/05

15a Worsley Road 15/07/04

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

CARE HOME ADULTS 18-65 Worsley Road 15a Worsley Road Newport Isle of Wight PO30 5JF Lead Inspector Janet Ktomi Unannounced 1st August 2005 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 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 Stationary 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. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Worsley Road Address 15a Worsley Road, Newport, Isle of Wight, PO30 5JF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 529710 Mrs Christine Rosemary Willett Mrs Christine Rosemary Willett Care home 1 Category(ies) of Learning disability (1) registration, with number of places Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 24/2/2005 Brief Description of the Service: Worsley Road is a registered residential care home providing care and accommodation for one person with a learning disability. The service user has been living as part of the family for many years, previously as a foster child. There is no expectation that the home would remain registered if this service user moved to alternative accommodation and the home does not intend to admit new service users. The home is a pleasant, well-maintained, domestic family home situated on the outskirts of Newport and close to all amenities. The service user has his own bedroom and free use of all the space within the home. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first inspection of this inspection year, core and additional standards were assessed. Core standards not assessed during this inspection will be assessed during the second inspection. The service was provided with limited notice of the inspection to ensure that the one service user and the manager were at home. The inspection was undertaken on a week day daytime and lasted one hour. Discussions were held with the manager and the service user. The service user stated that he is very happy and has no worries or concerns. Records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? What they could do better: The service provided is individual and exceptional. There are no areas that the inspector feels could or should be improved. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 6 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. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) none. The service does not intend to admit any new service users. EVIDENCE: The manager confirmed that the home does not intend to admit any new service users. The service exists solely to continue to provide a home for the one service user and would cease to exist as a registered home should the service user move to alternative accommodation. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10. The service user’s physical, social and emotional needs are fully met at the home. EVIDENCE: The service user has a care plan which was found to cover all the necessary areas. The plan is developed between the service user, the manager and the care manager. The care plan and reviews identify future needs of the service user, as well as current issues and identifies how these will be met. The care plan and review notes were viewed during the inspection and are appropriately stored within a locked storage facility. The manager encourages the service user to make choices and take responsibility for his own decisions. The manager spoke knowledgeably of the ways this can be done and the progress that has been made in this area. Discussions with the service user confirmed that he is able to make decisions for himself and is aware of the consequences of these decisions. The home does not restrict the service user’s rights and the manager confirmed she would discuss any concerns with the service user’s care manager. The service Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 10 user does not have a benefits appointee, however the manager does provide some advice to the service user to manage his personal finances. The service user confirmed that he is able to make his preferences known and that he is involved in decisions about the home. During the inspection it was evident that the service user felt comfortable with the manager and her family and able to make any suggestions or requests as they occur. The policies and procedures within the home are specific to the needs of the service user. The manager clearly understands the service user, his needs and capabilities. He is encouraged to consider the implications of his actions and to understand any risks involved. The service user works daily and is able to use public transport to get around the Island. The home has an appropriate procedure in place should the service user have any unexplained absences or not return home at the time expected. The manager and her family are well used to working with the rules for confidentiality. The manager was clear about the service user’s right to confidentiality and would not share information inappropriately. The service user attends social services review meetings. Information held within the home is maintained in a locked facility. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17. The service user has chosen an active lifestyle appropriate for his age. EVIDENCE: The manager is particularly good at encouraging the service user to maintain social skills. He often needs support and reminders to keep contacts going, and the family go out of their way to enable these contacts to happen. The manager and her family include the service user in all their activities but also appreciate the need for him to have his own interests. The service user discussed his work and leisure activities with the inspector and is supported when necessary. It was clear that the service user has control over what he does and how he spends his time. The service user is capable of caring for himself in many ways but needs reminders to undertake domestic and self care activities. The manager continues to encourage the service user to develop independence skills although he is reluctant in some areas. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 12 The service user was very complimentary about the food provided at the home and stated that he is involved in family meal choices. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 and 21. The service user’s personal and healthcare needs are appropriately met. EVIDENCE: The service user is independent in all areas of personal care requiring only reminders and encouragement. The service user has a daily routine for getting up, baths, mealtimes and bedtimes. Verbal support is provided tactfully by the manager and she reported that the service user accepts suggestions appropriately. The service user is registered with a local GP in Newport who he sees yearly to renew relevant benefits certificates. The service user is happy for one of the proprietors to accompany him for medical appointments and will tell them if he has any health concerns. The service user is generally fit and healthy with no ongoing health needs or regular medication prescribed. The manager maintains a record of all visits to health professionals and advice/action taken. At present the service user is not on any medication. On the occasions that he does require medication there is a record sheet and the administration of the drugs is signed as they are taken. The manager reported that she would only need to give verbal prompts to remind the service user to take medication. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 14 Copies of blank medication record sheets were seen. The manager has undertaken medication training in respect of her domiciliary care work. The service user is a healthy young man, however he has suffered recent bereavements and the manager described the support he has required to understand the events around this and cope with things he has had to do. Support was provided in a sensitive manner by the manager and her extended family who attended the funeral with him Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The service user is able to complain and he is protected from abuse. EVIDENCE: There have been no complaints about this service. The service user was clear that he had no complaints and confirmed that he was aware of how to make one. The service user could also make a complaint via his care manager or his employers who would ensure that appropriate action was taken to resolve any complaints. The manager was aware of the need for the service user to feel he could make complaints and would pass on complaints either to his care manager or to the Commission. The home has a copy of the Isle of Wight adult protection policy and procedure with the manager and her daughters having received adult protection training via their work. The manager was clear about her responsibilities in connection with adult protection and the action she should take should she have any concerns. Previous discussions with the manager showed she had a good understanding of abuse issues. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The accommodation provided is to an exceptionally high standard and meets the service user’s needs appropriately. EVIDENCE: The home is an exceptionally well maintained domestic family home and provides suitable and comfortable accommodation for the service user who has access to all parts of the home and garden. The home is conveniently located on the outskirts of Newport within walking distance of the town, shops, the service user’s work and is on a bus route. The home is fitted with appropriate fire detection and management equipment that is regularly checked. A certificate for maintenance from an external contractor was seen during the inspection. The home has a lounge and dining room/conservatory. In addition there is a safe garden that is used by all family members. The shared space provides plenty of room for the service user and the proprietors. On the day of the unannounced inspection the home was very clean, warm, tidy and well maintained. There were no visible hazards. The service user is Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 17 encouraged to take responsibility for placing his dirty clothes in the washing machine but the manager does the laundry. The manager has undertaken training in connection with her work and is fully aware of infection control procedures. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The service user is appropriately supported at all times. EVIDENCE: The home does not employ staff and therefore the standards within this section are not applicable. The service user does not require physical care, his needs relate to emotional and organisational support. He is quite independent and does not need constant supervision. The family are aware of the service user’s needs and ensure these are met. The extended family provide care and support if the proprietors are away and are appropriately trained via their domiciliary care and social services employment. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42 and 43. The management arrangements of the home are appropriate to ensure the service user’s needs are met. EVIDENCE: The manager has an NVQ level 3 in care. The manager has opportunities to undertake core and additional training via her work, and has attended study days for epilepsy, adult/child protection, mental health awareness, medication, Introduction to Learning Disabilities and moving people safely. The manager’s husband has a food hygiene certificate. The manager is a trainer for home care workers. The manager and her family have extensive knowledge of the service user as a result of caring for him since he was a child and is well regarded for the care that is given to him. The home is a family home and the atmosphere is one of warmth and caring with each member sharing views and desires. The manager shares her role with her husband, but takes most of the responsibility for the paperwork. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 20 During the inspection the interaction between the service user and the manager was positive and he clearly felt able to state his views and opinions. Although there are no formal quality assurance processes in place there are regular reviews of the placement by Social Services. This gives everyone an opportunity to voice their views on the care given. These reviews are detailed and written records were seen during the inspection. There is a range of policies and procedures in place. These are kept in a locked facility together with other paperwork relating to the placement. The family is aware of the information kept and how to access it. The care is tailored to the one well-known service user and therefore the policies /procedures are relevant, simple and straightforward. The records kept by the manager are sufficient to cover the nature of the service offered. As previously stated records are held in a lockable facility. The home has the relevant insurance certificates that were seen during the inspection. Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score N/A N/A N/A N/A N/A Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 4 Standard No 11 12 13 14 15 16 17 4 4 4 4 3 4 4 Standard No 31 32 33 34 35 36 Score N/A N/A 3 N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Worsley Road Score 3 3 3 4 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 22 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 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. 1. Refer to Standard Good Practice Recommendations Worsley Road H55H04_S12594_Worsley Road_V218345_010805 Stage 1.doc Version 1.30 Page 23 Commission for Social Care Inspection Mill Court Furrlongs Newport PO30 2AA National Enquiry Line: 0845 015 0120 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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