Inspection on 02/08/05 for 43 Wellington Terrace

This inspection was carried out on 2nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

43 Wellington Terrace 22/12/08

43 Wellington Terrace 01/06/06

43 Wellington Terrace 07/02/06

43 Wellington Terrace 27/08/04

43 Wellington Terrace 20/04/04

43 Wellington Terrace 10/06/03

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 43 Wellington Terrace Kingsclere Road Basingstoke Hampshire RG23 8HH Lead Inspector Debbie Hawkins Unannounced 2 August 2005 nd 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. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 43 Wellington Terrace Address Kingsclere Road Basingstoke Hampshire RG23 8HH 01256 473674 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) Stonham Housing Association Ltd Mrs C Catton CRH 15 Category(ies) of MD Mental Disorder - 15 registration, with number of places 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27.08.2004 Brief Description of the Service: Stonham is the registered provider of 43, Wellington Terrace and the registered manager is Mrs Carole Catton. The home is registered to provide care and accommodation to 15 service users who have mental health issues. 43, Wellington Terrace is a detached property set in a residential road within Basingstoke. It is accessible to local services and facilities. The home comprises of 15 single bedrooms, three sitting rooms; one of which is a smoking room, a dining room and a kitchen. The garden is well maintained, providing additional recreational space. 43, Wellington Terrace encourages service users to retain their own privacy and endeavours to support them in reaching their own perosnal goals. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over five and a half hours and during the visit the manager, the service users and the staff on duty assisted the inspector. An opportunity was taken to look around parts of the home, view some records and talk to staff and services users. The inspector spoke with four staff members and seven service users. There were no other visitors in the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: At the present time there are no improvements needed within the home. The service users spoken to confirmed this. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 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 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 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) 2 The home has a system of assessment, which identifies prospective service users needs and how they will be met. EVIDENCE: The inspector sampled four service user’s files and each contained a detailed assessment. It showed that individual aspirations and needs are assessed and this information is then transferred to the plan to ensure staff give each individual the right support. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service user’s needs. Risk assessments are in place and ensure service users are able to take risks as part of an independent lifestyle. EVIDENCE: Individual plans of care are available and four were sampled. They give detailed information on assessed and changing needs and personal goals. These are reviewed regularly. All plans seen had service user’s signatures present. The plans show how service users are encouraged to become more independent. Staff spoken to said the plans give them a good understanding of individuals and confirmed service users are involved in their plans. Risk assessments are in place and show that service users are supported to take risks. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 10 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Service users have opportunities to engage in suitable activities to meet their needs with good relations and support from friends and families. EVIDENCE: Service users continue to enjoy activities both in the home and the local community. On the day of the visit, some service users were attending various clubs and groups in Basingstoke. Service users spoken to confirmed they have numerous leisure activities such as playing darts, and doing gardening twice a week. Another service user said they were going on the train to Bournemouth for the day tomorrow. Staff spoken to confirmed service users are encouraged to go out at least once a week but for some this proves difficult. Service users spoken to said they have regular contact with family members and friends with one service user saying they see their partner every week and another has their Mother visiting monthly. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 12 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service user’s health and personal needs are being met to ensure they are supported in the way they prefer. EVIDENCE: Four service user’s plans were sampled and they contained clear information on each service user’s specific needs. As none of the service users living in the home require assistance with personal care the plans only detail how service users are encouraged to undertake their own personal care. Service users spoken to said they felt staff are meeting their needs. Service user’s physical well-being is documented in the plans and service users spoken to informed the inspector how they visit their doctor and optician as needed. On the day of the inspection one person was off to the dentist and another was having their ears syringed the next day. One service user spoken to said ‘staff will support me with any health problem I may have’. Staff spoken to said service users are encouraged to access health professionals independently but staff will support people as needed. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 14 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Arrangements for protecting service users and responding to concerns are satisfactory. EVIDENCE: The complaints procedure was seen and since the last inspection this now covers all the relevant information, including details of the Commission. It is located on the wall in the hall. Service users said they would tell staff about any concerns or complaints they may have. The inspector also viewed the record of complaints and the complaints detailed were all resolved appropriately. The home has all the relevant documentation relating to adult protection including a whistle blowing procedure, the adult protection policy and the ‘no secrets’ guidance. Additionally all staff have received in house training on abuse. Staff spoken to were confident on what to do in the event of an allegation of abuse. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 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 A comfortable and safe standard of accommodation is provided for the service users, which meet their needs. EVIDENCE: The home is well maintained and suited to the service user’s needs. It is decorated to a standard that creates a comfortable and homely ambience. Since the last inspection the entire house has been redecorated and new baths, showers and sinks have been installed. Service users spoken to said they like the house and especially like their bedrooms. One service user says the home now has a tea urn and so the service users can make a cup of tea whenever they wish to do so independently. Staff spoken to said they have a maintenance department whom they can call upon if there are any issues in the house. If there is anything in the home deemed unsafe this is dealt with immediately. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 17 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 and 36 The home ensures that staff are trained to meet service user’s individual and joint needs and are sufficient in numbers. EVIDENCE: There was a questionnaire received by a relative stating they felt the home should have more staffing. The inspector viewed the rota and had discussions with the manager, service users and staff and found the staffing levels to be adequate. On the day of the inspection there were three staff on duty. The manager also confirmed if a service user becomes unwell extra staff are available and are used. Service users spoken to said staff are kind to them and can meet their needs. The staff team have worked in the home for many years with lots of experience supporting people with mental health issues. The inspector viewed the training records and staff have attended varied training relevant to the needs of the service users. Four staff have completed their National Vocational Qualification training. A staff member spoken to said Stonham provides adequate training to allow staff to do their jobs. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 18 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health, safety and welfare of service users is fully promoted with staff being well trained and showing a sound knowledge within the areas of health and safety. EVIDENCE: All policies and procedures relating to health and safety are available in the home and the staff spoken to knew where and how to access them and had a satisfactory understanding of health and safety. Staff have also received the relevant training in areas such as fire safety and food hygiene and the records for this were seen. Service users spoken to said they feel safe living in the home and they have fire drills to ensure everyone is aware on what to do. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 20 The manager confirmed there are the relevant records and certificates in place to ensure the environment is safe and secure, this includes portable appliance testing and fire equipment testing. On the day of the visit the home was safe and free from any hazards. 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 43 Wellington Terrace Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 43 Wellington Terrace H54 S12300 43 Wellington Terrace V237273 020805.doc Version 1.40 Page 23 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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