Inspection on 29/11/05 for 330 Westward Road

This inspection was carried out on 29th November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

330 Westward Road 18/04/06

330 Westward Road 11/05/05

330 Westward Road 15/02/05

330 Westward Road 26/05/04

330 Westward Road 09/12/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 330 Westward Road 330 Westward Road Ebley Stroud Glos GL5 4TU Lead Inspector Mr Paul Chapman Announced Inspection 29th November 2005 09:00 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 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 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 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. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 330 Westward Road Address 330 Westward Road Ebley Stroud Glos GL5 4TU 01453 823852 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) jenny.miles@hft.org.uk Home Farm Trust Mrs Jenny Miles Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11/05/2005 Brief Description of the Service: 330 Westward Road is a three storey detached house with accommodation for eight adults with learning disabilities. The home is conveniently situated in Stroud, which enables service users to access local community facilities. Service users also have access to transport that is provided by the home and this enables them to access facilities in several other local towns. The home is staffed 24 hours a day, seven days a week. Family and friends are welcome to visit the home at any time and service users can meet them in private if they wish to. The service users attend various activities, which include Day services provided by Home Farm Trust at their Frocester Manor site and College courses. Some of the service users are also employed locally. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was completed over a period of 6.5 hours on a day in November 2005. The manager was present throughout the inspection. The inspector spoke to seven of the service users individually during the day and completed a thorough tour of the accommodation provided. In addition to this the inspector examined the records for three of the service users and other records maintained by the staff as required by these regulations. The inspector wishes to thank the staff and service users for their time and support during the day. What the service does well: What has improved since the last inspection? The home continues to provide a high quality service. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 6 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. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 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 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: None of these standards have been inspected on this occasion. No new service users have been admitted to the home since the previous inspection. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 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 the following standard(s): 6, 7, 8, 9 Person Centred Plans are developed with the service users and staff support them to achieve their goals. Staff support the service users to make decisions but do not make decisions for them. Regular service users meetings provide service users with a forum to be involved in the day-to-day running of the home. Comprehensive risk assessments minimise potential risks to the service users. EVIDENCE: All of these standards were comprehensively inspected at the previous inspection. All of the service users have Person Centred Plans (PCP’s); these have been produced on the home’s computer making good use of video, music and speech. Staff have supported the majority of the service users to create their PCP’s but one service user has created their own independently. The PCP’s seen by the inspector identified a person’s goals and when talking to the 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 10 service users they confirmed the progress towards achieving those goals. This progress was also recorded in the service users’ files. A recommendation of the previous report was that service users should be given the opportunity to sign their goal plans and other documentation. Evidence of this being done was available. All of the seven users spoken with by the inspector explained their input in the development of their PCP’s. The previous inspection highlighted the need for the staff to review the service users’ skills assessments. Records showed that this had been completed. In conversation with the service users they gave examples of staff supporting them to make decisions about their lives and the inspector witnessed staff doing this during the inspection. Key workers complete monthly reports about each service user that is collated from their daily notes. This report covers topics such as accommodation, leisure activities, behaviour, finance, health and relationships. Minutes of the service users meetings were seen and showed that they were held regularly and gave service users the opportunity to be involved in the day to day running and planning of the home. In addition to this the home hold an annual review meeting with staff and service users where practices are discussed. Examination of the risk assessments completed by the staff showed them to be thorough and continuing to be monitored by staff. A recommendation by the inspector is that the old risk assessments that are no longer relevant should be archived. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 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 the following standard(s): 17 The food and meals available at the home are chosen by the service users and are varied, balanced and nutritious helping to maintain the service users health. EVIDENCE: All of these standards were inspected at the previous inspection where the inspector found the lifestyles of the service users’ were varied, fulfilling and meeting their identified needs. In conversation with the service users at this inspection they were able to confirm that this continues to be the case and told the inspector of the various activities they are regularly involved in. The inspector was able to examine the menus for the home which are written and supported by pictures. Menus showed that a varied and balanced diet was available. The two couples that live in the home compile their menus and are responsible for shopping for the ingredients and cooking their own meals. Staff support service users to do this if it is needed. The other service users choose their menus on a weekly basis each Sunday after the service user’s meeting. The inspector highlighted one shortfall relating to the couple living downstairs in the flat. Examination of their menus showed that they were not recording 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 12 what they ate at lunchtime. The inspector brought this to their attention and asked them to record this in the future. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 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 the following standard(s): 20 Effective management of the service users’ medication minimises the risk of medication errors. EVIDENCE: Standards 18, 19 and 20 were inspected at the previous inspection and found to meet the standard. Medication was re-examined at this inspection and continues to be managed correctly. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 23 The manager’s actions to protect the other service users have been effective. EVIDENCE: Both of these standards were inspected at the previous inspection and found to meet the standard. Since the previous inspection it has come to the attention of the manager that one of the service users has been stealing money from his peers and their behaviour towards the others is “bullying” and causing others to be distressed and uncomfortable in their own home. The inspector discussed the situation with the manager. They have made use of their line manager and a social worker to try and address this situation and the inspector has spoken to the line manager about this and asked to be kept informed of any future steps. The actions taken by the manager so far are appropriate in protecting the other service users. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 24, 25, 26, 27, 28, 29, 30 The home is maintained to a high standard and meets the current needs of the service users that live there. EVIDENCE: The home continues to be cleaned to a high standard, and communal spaces in the home are nicely decorated with service users having an input into colours and style. The manager stated that they have requested that the kitchen is decorated. All of the service users showed the inspector their bedrooms. All of the bedrooms were decorated to a high standard reflecting the hobbies and interests of the service users that they belonged to. All of the home’s toilets and bathrooms were seen to be decorated to a high standard and adaptations were fitted where appropriate. Since the previous inspection some extra banisters have been fitted to support service users with increased physical needs. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 The documentation gathered as part of the recruitment procedure minimises potential risks to the service users. Staff roles, responsibilities and training ensure that service users needs are met. EVIDENCE: All staff have job descriptions provided by HFT. Since the previous inspection a new member of staff has been employed. The inspector examined the person’s staff file which was seen to contain all the information required by the regulations. Staff training records are comprehensive and provided evidence that staff are completing all the training necessary to meet these regulations and standards. All staff except the member newly recruited to the team have achieved a minimum of NVQ level 2 in care. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 The staff team are well managed and this enables service users to receive a high quality service that protects them whilst promoting their independence and rights. Service users are involved in the day to day running of the home and are given the opportunity to voice their opinions. Regular monitoring of health and safety around the home minimises potential risks to the service users. EVIDENCE: The Manager has a diploma in social work, NVQ level four in management and substantial experience of working with this client group. The Registration certificate and Employer’s liability Insurance certificate were both displayed in the home. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 18 During the inspection the staff clearly indicated that the service provided at the home is led by the needs of the service users. From discussions with staff and service users, and from the examination of records, the routines within the home were flexible enough to enable the service users choice and a varied lifestyle. The inspector received comments from relatives of the service users after the inspection which were positive about the service provided at the home. Regular service user meetings allow the service users to have input into the service provided at the home and comments from the service users about their input into running the home were positive. A risk assessment has been completed (21/10/05) for the different rooms in the home and identifies potential risks and ways in which they can be minimised. HFT’s health and safety officer completed a health and safety audit on 26/11/05. The manager completes weekly health and safety checks around the home, in addition to this staff also regularly monitor health and safety. Records available for inspection included monthly checks for defects, weekly hot and cold water outlet monitoring, fire alarm tests, use of the food probe and daily recording of fridge and freezer temperatures. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 19 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 330 Westward Road Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 3 X DS0000016335.V251702.R01.S.doc Version 5.0 Page 20 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 YA17 Regulation 17(2) sch 4 (13) Requirement The manager must ensure that all meals eaten by the service users are recorded. Timescale for action 03/03/06 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 YA9 Good Practice Recommendations The manager should archive the risk assessments no longer required. 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 330 Westward Road DS0000016335.V251702.R01.S.doc Version 5.0 Page 22 - 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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