Inspection on 29/11/05 for 45 Watson 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

45 Watson Road 30/11/06

45 Watson Road 09/07/05

45 Watson Road 08/09/04

45 Watson Road 20/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 45 Watson Road 45 Watson Road Blackpool Lancashire FY4 2DB Lead Inspector Christopher Bond Unannounced Inspection 29th November 2005 09:30 45 Watson Road DS0000009880.V270718.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 45 Watson Road DS0000009880.V270718.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. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 45 Watson Road Address 45 Watson Road Blackpool Lancashire FY4 2DB 01253 347810 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Mary Catherine Webster Mr Robert Francis Webster Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th July 2005 Brief Description of the Service: 45 Watson Road is registered for five adults who have a learning disability. The home is situated in the South Shore area of Blackpool, not far from the Pleasure Beach. All of the bedrooms are large with good views. There are garden areas to the front side and rear of the house where people can sit out in good weather. The house is close to several local shops, which are within walking distance. There is a small park not far away and busses run into Blackpool and to other parts of the Fylde coast from close by. The house has a small driveway and visitors to the home are able to park in the streets close by. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over three hours. The inspector met the manager and the owner of the home. The manager gave a tour of the home. Four of the residents were spoken to during the inspection. Care staff files were seen. Information regarding the residents was also inspected. What the service does well: What has improved since the last inspection? What they could do better: There is still a need to ensure that 50 of care staff are trained to a recognised care qualification. This will mean that the care staff have a nationally recognised care qualification to help them to do their jobs effectively. The manager does not hold a nationally recognised qualification in management and care and this should be completed as soon as possible to ensure that he is well trained to manage the home. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 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. 45 Watson Road DS0000009880.V270718.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 45 Watson Road DS0000009880.V270718.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): 1 and 2 Thorough admittance procedures and careful assessment ensures that the home can meet people’s needs. Written information provided to prospective residents is good enabling an informed decision about admission to the home to be made. EVIDENCE: There had been no new residents admitted to the home for some time. There were recent assessments and care plans on file that were completed by Blackpool Social Services Learning Disability Partnership. These assessments showed what changes had occurred in the needs of the residents and how the home was able to deal with these needs. There was lots of good information available for people to view should they consider using the service. This information would help prospective residents to decide whether or not the home could meet their specific needs. 45 Watson Road DS0000009880.V270718.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 and 9 An ‘Individual Plan’ is developed with the service users, which ensures that their wishes, goals and aspirations are well planned and constantly reviewed to support positive outcomes. Service users are respected and treated as individuals, which helps to ensure a good quality of life. EVIDENCE: Each person who lived within the home had an Individual Plan. The plans contained information about health needs, basic information about the resident, likes and dislikes, important people in their lives, and review information. These plans also contained information about what the resident did during the day. Risk assessments formed part of the plan and residents were supported to take risks as part of their role within the community to help their development. The residents that were spoken to were aware of the plans and were involved in contributing to their progression. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 10 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): EVIDENCE: This section was not assessed during this inspection. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 11 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): 19 and 20 Residents health care is taken seriously and needs are closely monitored ensuring health issues are met. EVIDENCE: The manager had introduced medication training for all of the staff. This meant that the support staff were better prepared to help administer medication and residents were less likely to be put at risk. There was evidence within the individual plan’s to show how the home ensured that each person had his or her health needs addressed. One gentleman had recently undergone surgery and this was documented within the plan. This detailed information showed that health needs were monitored on a regular basis and that health issues were identified quickly. None of the residents within the home required help with their personal care. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 12 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): 22 and 23 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Residents were protected from harm by good abuse procedures. EVIDENCE: The home had a detailed and illustrated complaints procedure, which is made available to all residents on admission and displayed in the Statement of Purpose and Service User Guide. There have been no complaints since the last inspection. The home had a procedure in place for dealing with allegations of abuse. The registered manager had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: This section was not assessed during this inspection. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 14 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, 34, 35 and 36 Better support and training for staff means that they are more able to do their jobs correctly, which benefits the residents of the home. EVIDENCE: There had been no new care staff employed within the home since the last inspection. Staff files showed that proper checks were made to help ensure that the residents were safe. All of the staff had Criminal Records Bureau (CRB) checks. Files also showed that support staff were being trained appropriately. This meant that the residents’ needs were being addressed properly. The files also showed that all of the staff were being supervised correctly and on a regular basis. This meant that care staff were able to meet regularly with the manager to discuss their performance and work related issues. Staff meetings were monthly and minutes were produced for these meetings. Improved support for staff meant that they were more competent and able to do their jobs successfully. There is still a need to ensure that 50 of care staff are trained up to National Vocational Qualification (NVQ) level two. This will mean that the care staff have a nationally recognised care qualification to help them to do their jobs effectively. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 15 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 and 42. The home benefits from being managed in an organised and competent manner. EVIDENCE: Professional tradesmen had carried out proper checks of safety, gas and electrical equipment. Care staff had received the correct training in safety issues, which meant that the residents were not put at risk. The manager was a qualified social worker and had many years experience regarding the care of adults with a learning disability. The manager does not hold the NVQ level 4 in management and care and this should be completed as soon as possible to ensure that he is well trained to manage the home. The home was well run and the residents were encouraged to have an ‘ordinary’ life by using community resources and facilities. 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 16 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 3 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X 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 2 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 45 Watson Road Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 3 X X X 3 X DS0000009880.V270718.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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. 2. Standard YA32 YA37 Regulation 18 (1a) 9 Requirement 50 of care staff should have achieved NVQ level 2 by 2005. The Registered Manager should hold an NVQ 4 qualification in Management and Care by 2005. Timescale for action 31/12/05 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 45 Watson Road DS0000009880.V270718.R01.S.doc Version 5.0 Page 19 - 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. 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