Inspection on 10/10/08 for 35 West Thorpe

This inspection was carried out on 10th October 2008.

CSCI found this care home to be providing an Good service.

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

35 West Thorpe 17/10/06

35 West Thorpe 07/01/06

35 West Thorpe 26/07/05

35 West Thorpe 31/03/05

35 West Thorpe 28/06/04

35 West Thorpe 27/01/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 30/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 35 West Thorpe 35 West Thorpe Basildon Essex SS14 1LX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Carolyn Delaney     Date: 1 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 35 West Thorpe 35 West Thorpe Basildon Essex SS14 1LX 01268285788 01268285788 maureen.lawrence@estuary.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maureen Lawrence Type of registration: Number of places registered: Estuary Housing Association Ltd care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Care and accommodation to be provided to three service users with mental disorder excluding learning disability or dementia. Care and accomodation to be provided to no more than three service users. Date of last inspection Brief description of the care home West Thorpe is a care home for three residents with mental health problems. It is located within walking distance of Basildon town centre and forms part of a residential estate. Basildon council own the property. The house is domestic in size; there is a communal lounge, a kitchen with a dining area and a conservatory that is used as a smoking area. Each resident has a single room. There is a well maintained garden to the rear of the property with a patio area. The home is near to local shops, facilities and public transport. The home has a car for the use of the residents. 3 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a routine unannounced inspection, which included a visit made to the home between the hours of 11.30 and 19.00 on 10th October 2008. As part of the inspection process we reviewed information we have received about the service over the last twelve months including notifications sent to us by the manager of any event in the home, which affects residents such as injuries, deaths and any outbreak of infectious diseases. We also looked at the information the manager provided us with in the homes Annual Quality Assurance Assessment. This document is a self-assessment in which the registered provider / owner tell us what they do well, how they evidence this and the improvements made within the previous twelve months. We sent surveys for residents, their families and staff to complete to give their views about the home. We received surveys from each of the men and three members of staff and their views and Care Homes for Adults (18-65 years) Page 5 of 27 comments were reflected in the report. We did not receive any surveys from relatives. Staff told us that the men do not like completing surveys about the home and can become anxious as they feel they may have to leave the home. For this reason we did not ask too many questions and instead we observed how residents and staff interact and whether residents appeared happy in the home. During the site visit, records including residents care plans and assessments, and staff training files were examined. A brief tour of the premises was carried out and communal areas including lounge and bathrooms were viewed. In addition the men showed us their bedrooms. Information obtained was triangulated and reviewed against the Commissions Key Lines for Regulatory Activity. This helps us to use the information to make judgments about outcomes for people who use social care services in a consistent and fair way. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home know their assessed needs will be met. Evidence: We were told in the Annual Quality Assurance Assessment that staff strive to improve the home to suit the wishes and needs of people who live there. The statement of purpose and service users guide which sets out the aims and objectives of the home as well as information about living arrangments are displayed in the hallway and made available to residents and visitors. The primary aim of the organisation is to provide a home environment which is in keeping with other homes in the area and to support residents to live full and independent lives within their community. The home was fully occupied and the three residents have lived there for some years so there have been no admissions since the last inspection. Residents completed surveys and said that they had visited and received enough information about the home before they choose to move in. One person said I liked this home from the very first time I visited, and another resident said I already knew the other two people Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: here and I liked it when I visited. Staff had completed an assessment of each individuals needs to ensure that they could support each person according to their wishes and aspirations. Each resident has a detailed contract. This sets how much each person pays towards the cost of their care and their rights and responsibilities, including responsibility for keeping the home clean and tidy and how staff will support residents to do this. The fees for a place in the home at the time of this inspection was 1448.17 pounds per week. This includes rent for accommodation, meals and twenty four hour staff support. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are well cared for and involved in making choices about their care Evidence: Each of the three men living in the home has an up to date plan of care which describes their needs and the support they receive from staff. The plans reflect each individuals wishes for how they wish to be supported and how they like to spend their days. For example staff record for each resident the time they like to get up in the morning and go to bed at night, where they like to go during the day and evening and any particular likes or dislikes they may have. Residents sign and agree to their individual care plans. Staff review plans with the men on a regular basis and record where there have been changes to their needs or wishes. Residents regularly complete questionnaires which ask if they have enough choices in respect of meals, clothing, holidays, social activities and contact with family and friends and their comments are documented. We looked at the questionnaires which the men had recently completed. Each had indicated that they were happy with the Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: choices they have. In addition there are regular meetings held where the men can voice their opinions and make suggestions. We looked at the minutes from these meetings. Residents had discussed activities, which ones they particularly enjoy and suggestions for other outings they would like. Residents told us in surveys that they can make choices about what they do each day. Daily routines such as meal times in the home are flexible to suit residents. Staff and residents confirmed this. When we arrived to carry out the inspection visit, two residents and staff had just returned from shopping and were preparing lunch. Both residents were asked what they would like to eat and staff supported them to prepare their meal of eggs on toast. Two residents told us they have keys to the front door and they come and go from the home as they choose. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy an active lifestyle with access to social and recreational activities and events which suit their wishes. Evidence: The manager told us in the Annual Quality Assurance Assessment that she intends to look into finding appropriate work projects for residents. At the time of the visit none of the men were in paid employment. One resident has recently applied for a part time job at a local charity shop. Two men attend local day care centres. They also attend local adult colleges where they meet people and participate in occupational activities such as cooking and craftwork. Residents are encouraged to undertake some chores in the home. For example setting the table and clearing away afterwards, along with keeping their rooms clean and tidy. Staff supervise activities and will assist were needed. Residents have their own key to the front door and to their rooms and can Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: come and go from the home when they choose. Staff ask residents about the type of activities they would like to participate in and find information about events and activities which reflect these wishes. Residents regularly go out for meals to local pubs and restaurants, cinema, and bowling. Staff record residents experiences of the activities and take photographs as reminders of days out and holidays. Day trips to London are arranged and some of the activities planned in the run up to Christmas include a trip to France, a visit to Hever castle for a fireworks display and a visit to a Christmas market. There is also a Christmas meal arranged for the men and their families and staff. Residents had a holiday on the Isle of Wight this year and enjoyed it so much they have requested to go abroad next year and staff are looking costs and possible destinations. The men told us that they enjoy the meals in the home. Menus are planned with residents and they are asked what they would like to eat each day. Staff buy food supplies once a week and the men assist in choosing food. We looked at menus and the food stores. We saw that the men are offered a good variety of meals which are home cooked. There are ample supplies of fresh fruit vegetables and meats to help ensure that residents diets are well balanced and healthy. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are cared for and supported to access the health and medical treatments they need. Evidence: The manager told us in the Annual Quality Assurance Assessment that residents have regular health checks and involvement from community health care professionals. Staff record in each persons care plan the level of support or supervision each of the men need. This information is reviewed regularly with the individual. Residents needed only prompting from staff in respect of maintaining personal hygiene. Records indicated that the men attend appointments for check ups and treatments in respect of their physical and mental health needs and that they good contact with the mental health services and regular reviews of care are arranged. The men have routine dental, chiropody and eyesight checks. Staff regularly monitor residents weight and general health and report any issues to their general practitioners. The men told us that staff are available, listen and act on what they say. One person chooses to keep and administer his medication. Staff assess potential risks Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: of this practice regularly. This man has appropriate storage facilities in his bedroom to keep his medicines. Other residents rely on staff to administer medication. Staff receive regular training and are aware of the policy for the safe handling, administration and disposal of medicines. We looked at medication administration records and these were correctly completed by staff. Storage arrangements were seen and these were secure and appropriate. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are well looked after, their complaints and concerns are taken seriously and they are safeguarded from harm. Evidence: We were told in the Annual Quality Assurance Assessment that residents are free to raise any issues and that complaints and concerns are dealt with in accordance with Estuary Housings policy and procedure. Residents told us that they have no complaints but that if they did they would tell the manager or their families. We looked at complaint records kept in the home. One complaint was recorded. This complaint was made by a neighbour about a residents behaviour when smoking in the garden. This was fully investigated and responded to. We have received no complaints or concerns about the home since the last inspection. Staff told us that they have undertaken training in respect of safeguarding people who may be vulnerable from abuse and certificates were available to show this. We spoke with two members of staff and they could demonstrate that they understood the homes safeguarding policy and how to act if they witnessed or suspected any ill treatment of residents. People living in the home may be vulnerable to financial abuse as they are unable to manage money safely. Risks are assessed and staff support residents by escorting them to the bank to withdraw money Staff also keep money for safekeeping on their behalf. Stringent checks and recording procedures are carried out Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: by staff so as to minimise the risk of mishandling or error. Residents look well cared for and we looked at accident records and these indicated that there have been no accidents in the home since the last inspection. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in and enjoy a safe, homely comfortable and clean home which suits their needs. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that residents are involved in making decisions about the environment and that they choose the decoration for their bedrooms. The manager also told us of the improvements made within the last twelve months. A shelter had been built in the garden for residents to use if they wish to smoke and a secure off street parking area is now available to minimise damage to the homes vehicle which has been vandalised a number of times in the past. Each of the three residents told us that they like the home. The men have their own bedrooms with televisions and other personal electrical equipment. They share the bathroom upstairs. Residents have access to all parts of the home including a comfortable lounge area, a well equipped kitchen diner and a conservatory. All parts of the home were clean and free from unpleasant odours and each of the men told us that the home is always fresh and clean. Residents can choose how they would like their bedrooms to be decorated and one bedroom was in the process of redecoration when we visited. The resident told us that Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: he had chosen the colour and assisted staff to paint his bedroom. Staff carry out regular checks to ensure that equipment and systems such as fire alarms and emergency lighting to ensure that the home is maintained safe and that necessary equipment is in good working order. There is a large well maintained garden and residents assist staff to keep it looking nice. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are well cared for and supported by competent staff. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that are five permanent staff and one regular temporary agency staff are employed to work in the home. Staff rotas and files we looked at confirmed this. We were also told that all staff are committed to providing a good standard of care and have a good rapport with residents. One the day of the inspection residents appeared very much at ease with staff and there was a happy and relaxed atmosphere. We observed staff interacting well with residents with good humoured and friendly conversation. Residents completed surveys and said that staff listen to what they say and act on what they say. The men are supported by one member of staff at all times. The homes manager works on a supernumerary basis three days per week and provides hands on support for the other two. Staff rotas were seen and staff do not work excessive days without appropriate off duty time. This helps to ensure that staff are fit to support residents properly. On occasions residents are cared for by temporary staff from a local agency. All staff from the agency must provide proof of identity and the training they have Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: undertaken. In addition staff from the agency undertake an induction to the home before they can commence work there so that they can support residents in accordance with the homes policies. Evidence of these were kept in the home. There is an on call system within Estuary which staff can use for advice or extra support if needed, if for example they needed extra staff cover. There have been no new staff employed at the home since the last inspection. The practices for recruiting staff were assessed at that time and found to be thorough so as to safeguard residents and ensure that staff who work in the home are suitable and skilled. Both staff members who completed surveys told us that they had undertaken a period of induction which covered everything they needed to know about the job. Both confirmed that they receive training and support which is relevant and helps them to understand the needs of residents. We looked at training records and these indicated that staff undertake training for the safe moving and handling of people, managing diet and nutrition, caring for people with mental illness and the role of the support worker. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. West Thorpe is well managed, residents are well cared for and involved in planning the day to day running of the home. Evidence: The manager has the National Vocational Qualification level 4 in management and is an experienced care home manager. Residents said that they would feel confident to bring any issues they have to her attention and that these would be resolved. Residents and staff have regular meetings where they can make comments and suggestions about how the home is managed. We looked at the minutes from these meetings and these reflected the views and opinions of residents, including ideas for day trips and holidays. Relatives are consulted for their views about the home. We looked at the comments they made. They told us the home is well managed and that staff have residents best interests at heart. The home is well maintained. Checks are carried out to ensure that equipment is in good workig order. Gas and electrical equipment and installations are serviced by Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: qualified engineers annually and certificates are kept to evidence this. There are regular checks carried out by staff to ensure that the fire detection systems in the home are working. Staff and residents participate in fire safty drills to help assist them prepare for any outbreak of fire. Some residents smoke and the manager arranged for a fire officer to visit and explain to residents the risks of fire and to reinforce safe practices such as ensuring that cigarettes and matches are kept safely and cigarettes are put out properly. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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