Inspection on 24/04/07 for 15a Worsley Road

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 30/01/06

15a Worsley Road 01/08/05

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) 15a Worsley Road Newport Isle Of Wight PO30 5JF Lead Inspector Janet Ktomi Unannounced Inspection 24th April 2007 15.00h Worsley Road (15a) DS0000012594.V334900.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 Worsley Road (15a) DS0000012594.V334900.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. Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Worsley Road (15a) Address 15a Worsley Road Newport Isle Of Wight PO30 5JF 01983 529710 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) Mrs Christine Rosemary Willett Mrs Christine Rosemary Willett Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2006 Brief Description of the Service: Worsley Road is a registered care home providing care and accommodation for one person with a learning disability who 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 person moved to alternative accommodation and the home does not intend to admit new people. The home is a pleasant, well-maintained, domestic family house situated on the outskirts of Newport and close to all amenities. The person who lives at the home has his own bedroom and free use of all the space in the home and garden. Fees: social services rates Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first ‘Key Inspection’ for 15a Worsley Road a ‘Key Inspection’ being part of the new inspection programme, which measures the service against the key National Minimum Standards. The service was telephoned prior to the inspectors visit to arrange a suitable time for the inspector to visit when the person who lives at the home and the manager would be available. The visit to the service, was conducted by one inspector over one day lasting a total of two hours, where in addition to any paperwork that required reviewing the inspector met with the manager, her husband and the person who lives at the home. Communal areas of the home were viewed. Due to the size and nature of the home a pre-inspection questionnaire was not sent to the home. The inspector telephoned the care manager of the person who lives at the home prior to the visit. 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 (15a) DS0000012594.V334900.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Worsley Road (15a) DS0000012594.V334900.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 Worsley Road (15a) DS0000012594.V334900.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): Quality in this outcome area has not been rated. This judgement has been made using available evidence including a visit to this service. No standards were assessed as the service does not intend to admit any new people and the one person living at the home has done so for many years. EVIDENCE: The manager confirmed that the home does not intend to admit any new people. The service exists solely to continue to provide a home for one person who has lived there since being a child and would cease to exist as a registered home should he move to alternative accommodation. Worsley Road (15a) DS0000012594.V334900.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, 8 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The person who lives at the home is supported to make appropriate decisions, take reasonable risks and lead an active lifestyle appropriate for his age and interests. EVIDENCE: The person who lives at the home has a social services care manager who confirmed that she has recently conducted a review of the placement and that there were no areas of concern. The person who lives at the home is aware that records have to be maintained and reviews undertaken however he dislikes these and will avoid involvement wherever possible. The manager encourages choices and responsibility for 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 person who lives at the home confirmed that he is able to make decisions for himself and is aware of the Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 10 consequences of these decisions. The home does not restrict his rights and the manager confirmed she would discuss any concerns with the care manager. The person who lives at the home does not have a benefits appointee however the manager does provide some advice to support him to manage his personal finances. The manager maintains appropriate records in respect of finances however the person who lives at the home dislikes having to sign for his weekly spending money as he is aware that other people do not have to do this. It is suggested that the manager continue to maintain the records and inform the care manager that these will no longer be signed by the person who lives at the home as he is unhappy doing this. The person who lives at the home 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 he felt comfortable with the manager and her husband and is 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. The manager clearly understands the needs and capabilities of the person who lives at the home. He is encouraged to consider the implications of his actions and to understand any risks involved. He works daily and is able to use public transport to get around the Island. The home has an appropriate procedure in place should there be any unexplained absences or he does not return home at the time expected. The manager has undertaken risk assessment training. Worsley Road (15a) DS0000012594.V334900.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 excellent. This judgement has been made using available evidence including a visit to this service. The person who lives at the home has chosen an active lifestyle appropriate for his age. EVIDENCE: The manager is particularly good at encouraging social skills. The manager and her family include the person who lives at the home in all their activities but also appreciate the need for him to have his own interests. The person who lives at the home discussed his work and leisure activities with the inspector and is supported when necessary by the manager, her husband or other family members. The person who lives at the home has friends his own age with which he works and spends leisure time. On the day of the inspectors visit he was going to the cinema with his friends after work to see a film they had Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 12 chosen. He also enjoys a number of sporting activities. It was clear that the service user has control over what he does and how he spends his time. The person who lives at the home is capable of caring for himself in many ways but needs reminders to undertake domestic and self care activities. The manager continues to encourage him to develop independence skills although he is reluctant in some areas. The person who lives at the home was very complimentary about the food provided at the home and stated that he is involved in meal choices. The manager and her husband have food hygiene certificates. Worsley Road (15a) DS0000012594.V334900.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 excellent. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are appropriately met. EVIDENCE: The person who lives at the home is independent in all areas of personal care requiring only reminders and encouragement. He has a daily routine for getting up, baths, mealtimes and bedtimes. Verbal support is provided tactfully by the manager and she reported that suggestions are appropriately accepted. The person who lives at the home is registered with a local GP in Newport who he sees yearly to renew relevant benefits certificates. He is happy for one of the proprietors to accompany him for medical appointments and will tell them if he has any health concerns. He is generally fit and healthy with no regular medication prescribed. Appropriate records are kept when short-term courses of medication are prescribed. The manager maintains a record of all visits to health professionals and advice/action taken. The manager has undertaken medication training. Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 14 Worsley Road (15a) DS0000012594.V334900.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 excellent. This judgement has been made using available evidence including a visit to this service. The person who lives at the home is able to complain and is protected from abuse. EVIDENCE: There have been no complaints about this service. The person who lives at the home was clear that he had no complaints and confirmed that he was aware of how to make one. He is also aware of his care managers phone number and could also make a complaint via his care manager or his work placement who would ensure that appropriate action was taken to resolve any complaints. The manager was aware of the need for him to feel he could make complaints and would pass on complaints either to his care manager for investigation 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. The manager was clear about her responsibilities in connection with adult protection and the action she should take should she have any concerns. Discussions with the manager and her husband showed they had a good understanding of abuse issues. Worsley Road (15a) DS0000012594.V334900.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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The accommodation provided is to an exceptionally high standard and meets everyone’s needs appropriately. EVIDENCE: The home is an exceptionally well maintained domestic family home and provides suitable and comfortable accommodation with 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, work placement and is on a bus route. Since the previous inspection the bedroom of the person who lives at the home has been redecorated, with a new carpet, new furniture and television. The room’s occupant was involved in this process. Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 17 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. A new condensing boiler has recently been fitted. 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 everyone. On the day of the unannounced inspection the home was very clean, warm, tidy and well maintained. There were no visible hazards. The person who lives at the home is 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 should these be necessary. Worsley Road (15a) DS0000012594.V334900.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): Quality in this outcome area has not been rated. This judgement has been made using available evidence including a visit to this service. The home does not employ any staff, appropriate support is provided by the manager and her extended family. EVIDENCE: The home does not employ staff and therefore the standards within this section are not applicable. 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 (15a) DS0000012594.V334900.R01.S.doc Version 5.2 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 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 excelent. This judgement has been made using available evidence including a visit to this service. 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 domiciliary care work, and has attended study days for epilepsy, adult/child protection, medication, Introduction to Learning Disabilities and moving people safely, violence and aggression and mental health awareness. Since the previous inspection in January 2006 she has also undertaken first aid, medications, skills for care induction, vulnerable adults, medication and risk assessment training. The Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 20 manager is now undertaking a British Sign Language course and will attend training on the Mental Capacity Act in June 07. The manager’s husband has a food hygiene certificate. The manager also works as a domiciliary care worker for adults and children with mental health and learning disabilities. The manager and her family have extensive knowledge of the person who lives at the home 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. During the inspection the interaction between the person who lives at the home and the manager/her husband 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 reviews of the placement by Social Services. This gives everyone an opportunity to voice his or her views. These reviews are detailed and written records maintained. There were no concerns in respect of health and safety identified during the inspectors visit. Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 X 3 N/A 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 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 X LIFESTYLES Standard No Score 11 4 12 X 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 X Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 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. 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 Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 23 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 Worsley Road (15a) DS0000012594.V334900.R01.S.doc Version 5.2 Page 24 - 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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