Inspection on 17/05/05 for Watchbell House

This inspection was carried out on 17th May 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

Watchbell House 06/10/08

Watchbell House 14/11/06

Watchbell House 03/02/06

Watchbell House 21/09/04

Watchbell House 01/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Watchbell House Watchbell Street Rye East Sussex TN31 7HA Lead Inspector Jason Denny Unannounced 17 May 2005 13:25 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. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Watchbell House Address Watchbell Street Rye East Sussex TN31 7HA 01797 222059 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) Canterbury Oast Trust Vacant Care Home 6 Category(ies) of Learning disability (LD) 6 registration, with number of places Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning disabled Service users (residents) with be aged between eighteen (18) and sixty five (65) years on admission Date of last inspection 21 September 2004 Brief Description of the Service: Watchbell House is one of two care homes, owned by the Canterbury Oast Trust in the picturesque and historic town of Rye. The home provides social and residential care for six adults with mild to moderate learning disabilities. Accommodation is on three floors, having sufficient [3] bathroom and toilet facilities. At the rear of the premises there is a small, private courtyard garden with patio, barbeque area and gazebo. This home offers a particularly attractive and homely setting for the small group of able-bodied service users accommodated. Watchbell House is a listed building situated in an elevated position with extensive views. The shopping areas, rail and bus links are within safe walking distance. The home has its own people carrier vehicle. The Trust provides a range of work opportunities such as in a local Restaurant and at the Rare Breeds centre a farm based near Ham street 10 miles from the home. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [first of two planned before April 1st 2006], which took place between 1.25pm and 6.15pm. The Inspection found that of the 22 National Minimum Standards inspected, that 17 had been fully met. The focus of the inspection was on seeing how the newest resident was settling in, along with another relatively new resident. The inspector spoke with all 6 residents and looked at the care records for the 2 residents referred too. The inspector had an extended discussion with all 3 staff found to be on duty at varying times. The acting home manager was not available during the inspection. Personal staffing records were not therefore looked at. The inspector toured all communal areas of the home. Food stocks were examined. Health and safety records were examined. A record of complaints was inspected along with some other paperwork, such as the home’s guide. What the service does well: The Inspector found a pleasant, warm and comfortable atmosphere during his visit. All residents were observed to be relaxed with arrangements with them socialising well together. All residents had clear routine based on their choice and were confident about approaching staff and stating their views and choices. Staff were observed to be positive, along with being knowledgeable and attentive to residents needs. All residents were found to have active lifestyles and came and went from the home throughout the inspection. New residents are only admitted to the home after all information is gathered and only after the person has visited the home several times to test things out. Other resident’s view on anyone new is sought. The group of women in the home were found to be highly compatible and are encouraged to take sensible risks to improve independence. Staff are clear about how to both identify possible abuse and report it. Staff operated with a clear sense of direction with clear plans in place, which helps them fully meet resident’s needs. The home was found to smoothly manage itself based on resident involvement. Leisure activities for residents continue to be organised including holidays based on choice. The home benefits from an experienced staff team and supportive management. Regular meetings are held with staff and with residents. Residents are regularly consulted about their views with this recorded. Record keeping especially with regard to residents is of a good standard. Watchbell House was again found to be clean and, homely with well-decorated bedrooms. Resident’s benefit from fresh food and a good diet. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 6 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 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 Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 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) 1,2,4 & 5 Assessment information in relation residents was of a good standard. The home ensures that prospective new residents have a high number of extended trial visits to ensure they are making an informed choice and to ensure that existing residents have a chance to meet them and pass a view. This part of the home’s practice was found to be exceptional. Residents contracts/agreements are well written, explained, and agreed by all, before a permanent place is offered. Although the home provides good information in its guide this is not enough. The information is not being sufficiently reviewed to maintain its accuracy. The home could try harder to make information more accessible to residents. EVIDENCE: The home has a Statement of Purpose. The complaints procedure was found to have the previous name of the Commission before it changed in April 2004. Some names in the organisation of whom to complaint to were found to have left the organisation some time ago. The format of the Residents Guide was in normal print with no work having taken place since the last inspection to make it more accessible to people with learning disabilities or visual impairment. A talking tape was recommended. The guide contained a range of information and some photographs but had no views of residents or other information such as social services emergency contact numbers. The guide was found to be in the homes top office and so not freely on display for visitors. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 9 Pre-admission assessments are undertaken by the Trust, which subsequently holds allocation meetings, matching new admissions to vacancies at one, or other of the homes it owns. Relatives and Residents are consulted with; there are social care assessments available and discussions with Social Services in every case. This was all clearly recorded for the newest resident. The Inspector found through discussion with this resident and looking at records that this resident had visited for several extended overnight stays in the home followed by a further 4 weeks before a place was offered. Records also showed that other residents were in agreement with this decision. The resident confirmed that everything has, and had, been explained to her. Each of her trial visits was clearly recorded in report form. The inspector observed compatibility of residents with all generally having low needs. For each service user there is a Social Services contract, additionally a form of service user agreement has been produced by the home that outlines the rights and responsibilities, terms and conditions, the plan for personal support and the facilities and services to be provided. The fee level is set at £825.88, which is the same for each resident and funded fully by social services. The fee includes all day services such as trips to work placements. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 10 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 & 9 Care-Plans were found to contain good information subject to regular review with all relevant people. Care-plans showed evidence of being put into action. The care-plans were found to be well organised with the exception of the newest resident. Staff showed a good understanding of guidelines especially in relation to the newest resident. Resident’s would benefit from independent advocacy to provide a neutral view and voice, other than the organisation’s or families. Risk assessments were found to be relevant and thorough. Residents are all supported to be as independent as is practically possible. EVIDENCE: The key worker together with the resident carries out care planning. Residents have access to their plans and may choose who is to attend their review meetings. The care plan includes an assessment of all aspects of personal and social support and healthcare needs. Daily notes and risk assessments also form part of the care planning process. Residents are encouraged to exercise responsibility and make choices about their day-to-day living. Three of the six residents manage their own savings accounts and pocket money expenditure. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 11 The home retains details of an Independent Advocacy Service, should any Resident require this. None of the current residents were found to be receiving independent advocacy. It was evident that one resident who spoke with the inspector wanted this, something that had been also been identified at her previous review. The inspector found a number of areas where an independent advocate could support residents to air their views and provide a neutral voice when the organisations policies change, such as in the case of visits to ex-staff. An advocate could also be used at reviews. The advocate may also be successful in explaining polices to residents. Residents attend reviews where they discuss their needs with the organisation, their care manager, and their parents. The newest resident confirmed that she was attending a review 3 days after the Inspection now she had come to the end of her probationary period. She confirmed that she had a difficult decision to make. Her care plan folder contained alot of information with no clear system of organisation. All the information was there except the homes own plan of care. The home was found to be using a plan of care developed by another organisation. The home had developed some of their own risk assessments and activity schedules. Her needs were found to be regularly reviewed. Risk assessments are carried out for Residents community activities e.g. evening outings and the use of buses, or trains unaccompanied. This information is recorded in individual care plans. Residents receive training about their personal safety. The home has a missing persons policy, which is individual to each resident as confirmed by staff and records. The Inspector found 31 risk assessments on one resident. The assessments also indicate why a risk is being undertaken usually to promote independence. The assessments for the newest resident contained a range of information around her skill levels and what could go wrong with steps to minimise this risk. One resident was found to have moved to another trust home which is smaller and based on promoting further independence. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 12 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) 12,13,15,16 & 17 Meaningful Activities take place on a regular basis for all residents. Residents have continuous opportunities to learn new skills and further their education. Full structured routines are in place based on resident’s needs and choices There is a good range of leisure activity. Residents are encouraged to play a full role in the community by a motivated staff team. Meal arrangements are good and healthy with residents choosing the food that is cooked. EVIDENCE: A full, weekly programme of activities is agreed with Residents and these are entered on an activities board; the majority of these being off-site, including college courses, occupational activities and leisure outings. A variety of evening and weekend activities are also arranged. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 13 Residents access local community facilities and services on a daily basis; some have library and/or church membership; most enjoy pub visits, arranged with staff. Community links have been established within the community of Rye, where the local shopkeepers know the residents. Three of the residents take it in turns to do voluntary work in a local charity shop, others assist in a Mother and baby group. Since the last inspection 4 residents have been attending a college course at the local education centre. Some attend two evenings per week. The newest resident confirmed that in a short space of time she had tried several jobs in the local Trust’s restaurants before finding two jobs she enjoyed one involving horticulture and the other animal care requiring 4 mornings a week at the local Trust farm. Another resident confirmed how her wish to visit the Ashford shopping centre had been promptly actioned following a regular resident meeting. Friends and family members are welcomed at the home, usually by prior arrangement as residents spend much of their time off-site. Weekend trips home are arranged. Residents’ choice of whom they see, or invite back to the home is respected; the home has a policy on personal relationships. Contact with friends and family is actively encouraged. The trust has produced its own “residents charter” based on the views of residents. Residents confirmed that Staff respect their right to privacy; they were observed to attentive to the needs of residents, whilst at the same time giving encouragement to develop self-help skills and promote independence. Residents treat the home as their own, freely coming and going, or spending time in the privacy of their own room, as they wish. This was observed during the inspection. The Inspector observed a resident cooking the evening meal with support from a staff person. Each resident has a rota so all can take turns. A weekly menu plan is agreed in consultation with residents. There is always a choice at mealtimes, a record being kept of any special diets or preferences. One resident was found to have changed her mind on return to the home and was supported to find an alternative meal. The home was found to have a range of fresh ingredients including meats, fruit and vegetables. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 14 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) EVIDENCE: None of these Standards were inspected. Standards 18,19, and 20 will be assessed at the next Inspection. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 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 & 23 The home needs to improve the level of detail and clarity in its complaint file in accordance with the standard and the home’s own policy and procedure. Staff continue to demonstrate an sound understanding on how to prevent and report abuse and continue to benefit from adult protection training. Staff were found to be aware of the homes complaints recording policy and procedure. All staff follow a consistent approach when dealing with residents distress. EVIDENCE: The inspector found one complaint received by the home over the last year. This covered a concern from a resident about another peer. The record was incomplete in that it did not show what investigation took place and the outcome. The record did not confirm the residents view on how the complaint was handled. A resident was alleged to have assaulted the complainant. This resident was found to have moved to another home although there was no evidence that this was connected to the complaint. The complaints record made mention of a full investigation by people outside the home but there was no written evidence in the complaint file to support this. Key workers are trained to respond to service user’s wishes, suggestions, or concerns. All staff have received training in the protection of vulnerable adults. There is policy guidance for staff to adhere to. The home keeps accurate records of all monies, managed on behalf of Residents e.g. pocket money savings and expenditure. Staff do not handle resident’s monies, except for two of the Residents, who require support. In this case, accounts are checked and recorded daily. The newest resident and staff, confirmed that she handles the money provided to her, by her Mother who manages her finances. The resident stated that she was happy with this arrangement and did not want to change it at present. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 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) 24,26 & 30 Resident’s benefit from living in an exceptional character building which feels and looks like an ordinary home at the high end of the market in an historic town. Resident’s benefit from a homely, safe, comfortable, well equipped, and appointed home. All residents have highly personalised and spacious rooms and ample bathroom facilities. Residents have a good range of storage space and equipment. The home was found to be clean and free from offensive odour with residents encouraged to play a full role in this. Some long standing Maintenance jobs are not done promptly which lets down the home, which in the main, is superb. EVIDENCE: The home provides shared and private rooms that meet space requirements. There is a separate lounge, a dinning room, also used for craftwork, and a spacious entrance hall. Service user’s artwork is displayed on the walls. The home is kept clean and tidy by staff and Residents, working together. A 3-year rolling programme of replacements and renewals maintains interior decoration and furnishings. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 17 The kitchen has been identified by the organisation as needing renewal and redecoration. No written plan of when this will take place has been communicated to the home. Quotes have been received on the pointing and redecoration needed on front of the home. There was no evidence of when this work will start or what the budget is to ensure that the work can realistically be done. The manager and/or staff carry out and record routine health and safety checks around the home and in its grounds; fire safety training is delivered regularly to staff and Residents. Staff were seen to be recording bath temperatures. All the recommendations of a Fire Safety Officer’s report, dated 1 March 2004, namely that half-hour fire resistant doors are fitted to all Residents’ bedroom doors and that an emergency push-bar fire exit door is fitted in the communal lounge, were found to have been carried out on a tour of the home. During the inspection, the condition of the homes exterior paintwork and rotting bedroom window frames was again noted. The inspector saw some resident’s rooms which were are all decorated and furnished with suitable lighting, heating and ventilation provided. One bedroom not looked at, was described by staff as being of concern due to the resident choosing at times not cooperate with health and safety guidance in terms of tidyness and hygiene. This matter was described as being under regular review as evidenced in the persons care-plan. Residents have chosen to bring items of their own furniture. Each resident has their own lockable space only accessible to them as confirmed by staff and a resident. The communal areas of the home were found to be kept clean, fresh and tidy throughout. There is a policy for infection control that all staff were found to be conversant with. A Legionella policy has been produced and water storage and delivery temperatures are regularly checked and recorded, in compliance with regulations. The laundry equipment is sited in an area, leading off the kitchen. This arrangement contravenes health and safety guidance. However, as there is no suitable alternative site, the manager has confirmed that laundry bags are always used to prevent any possible cross-contamination. There is also another alternative door/entrance area to the kitchen area, which ensures that laundry is not carried across food preparation areas. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 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 Staffing ratios meet residents assessed needs and is flexible to ensure that leisure and other activities take place. The home needs to be clear about who is in charge of the home especially when the management team are on leave or absent. All staffing standards 31-36 were assessed to have been met at the last inspection. EVIDENCE: The duty rota shows staffing levels that reflect the number of residents, present on site, day by day i.e. The numbers remaining at the home varies according to the daily, off-site activities that Residents are engaged in. The duty rota did not show which staff member was in charge at a particular time which was more concerning due to the acting manager being on leave. On the day of the inspection there were 3 staff initially present one of whom was a driver. This reduced to 1 staff person from 5.30pm onwards. Staff confirmed that this was sufficient to meet the needs of highly able residents especially as things are “well planned” according to a new staff person. Residents also enjoy evening activities, mainly independently, such as college classes. Staff cover is also provided by other parts of the Trust such as when residents are working at the farm. The homes statement of purpose and service user guide [St 1] states that 2 staff are on duty during the day. A statement which requires greater clarity. Monthly staff meetings are held and minutes recorded. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 19 Staffing records were not available for inspection due to being secured by the absent manager so further standards such as 34, 36, and 36 could not been inspected. Staff training, including induction, NVQ’s, recruitment practices and staff supervision was assessed to have been met at the last inspection. Additional supervisory staff cover is also provided at activity venues by other staff working at the Trusts farm or restaurants. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 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 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) 37,39,42 & 43 Resident’s benefit from a home, which is well managed in their best interests. Residents are supported to be fully involved in the running of the home and are consulted on any changes. The home was found to be well run in the absence of the acting manager. The organisation, which owns and manages the home ensures that good information such as their own monthly inspection reports are sent to the commission in a timely manner. Health and Safety maintenance has improved although some paperwork was found not to be in place. EVIDENCE: The team leader/acting manager is undertaking the NVQ at level 4 in management. This person has been the acting manager since the retirement of the registered manager in April. The acting manager has been involved in the management of the home for a number of years and will be applying to be the permanent manager. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 21 Residents indicated that they are encouraged to participate in the running of the household, wherever possible. The Trust produces a quarterly bulletin, aimed at Residents, their families and friends. An area manager visits the home at least monthly. One resident indicated the freedom of access she has to the organisations senior management such as when she visits the farm for her work placement. Resident’s views are formally sought at their reviews, during their fortnightly house meetings and informally through sessions with their key worker. Care plans, policies and procedures are regularly reviewed and updated. A commitment to service user involvement is demonstrated in the planning and delivery of services. Resident’s complete periodical satisfaction questionnaires, which on the ones inspected had 29 questions, and were completed on 26.4.04. The monthly section 26 visits as evidenced in reports are carried by one of two area managers who visit on behalf of the organisation. The last report to be sent to the Commission was of a visit occurring on April 8th, which was received on April 22nd. The manager carries out and records risk assessments for safe working practices, including a fire risk assessment. Monthly health and safety checks are carried out and recorded. The fitting of half-hour fire resistant doors to resident’s private rooms has been carried out (as previously noted in this report under Standard 24). The Trust provides in-house training and, where necessary, external courses for staff in core skills e.g. first aid, food hygiene, health and safety and Nonabusive Psychological and Physical Intervention. These records were not available for inspection. Two staff confirmed that she had done all these courses. The home has produced a Legionella policy for the safe storage and delivery of water. Radiator guards and water temperature controls are fitted, wherever there may be risks to Residents. The Trust has addressed all health and safety areas since the last inspection although a current Gas safety certificate could not be found. The Trust recently reported that a gas boiler was being replaced although it was not clear when. The Inspector saw a current liability insurance certificate on display. Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 3 x 4 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Watchbell House Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 3 H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 23 Are there any outstanding requirements from the last inspection? No 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 1 Regulation 5 & 6[a] Requirement Timescale for action 17.08.05 2. 22 17[2] Schedule 4 3. 24 23[2][b] That the Service user guide is complete and includes all information such as residents views on the home along with emergency social services and health authorities numbers. That information in the guide such as contact names is kept up to date. That the guide is clearly on display in the home. That the homes complaint file 17.08.05 must contain a clear record of complaints made, in accordance with the standard. That the Complaints file records the investigation and outcome of the complaint. That the homes complaint procedure must include accurate up to date contact names. That the premises are kept in a 17.08.05 good state of repair and renewal externally and internally. That the organisation which manages the home develops a written plan to show when identified maintenance jobs will be undertaken and evidences an allocated budget to show how each part of its maintenance and refurbishment plan can be Version 1.20 Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Page 24 4. 42 23[c]& 13[4]c actualised in accordance with the schedule. That this plan is sent to the Commission and the home, within the timescale shown. That the home sends the Commission a Gas boiler safety certificate 17.08.05 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. 2. 3. Refer to Standard 1 6 7 Good Practice Recommendations That the home produces a summary of the Service users [Residents] guide on a tape to assist residents access information. That the Care-plan for a particular service user [new service user] is appropriately organised with the homes own plan of care developed. That appropriate arrangements are made for all service users [residents] to have independent advocacy to assist them, such as in reviews, personal development, and service provision such as signing of contracts and reviews of the homes service. That the homes Rota [roster] clearly identifies the person in charge at any time. 4. 33 Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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. Extracts may not be used or reproduced without the express permission of CSCI Watchbell House H59-H10 S21279 Watchbell House V217209 170505 Stage 4.doc Version 1.20 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!