Inspection on 09/07/05 for 45 Watson Road

This inspection was carried out on 9th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

45 Watson Road 30/11/06

45 Watson Road 29/11/05

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 Chris Bond Announced 9 July 2005 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. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 45 Watson Road Address 45 Watson Road Blackpool Lancashire FY4 2DB 01253 347 810 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) Mrs Mary Webster Mr Robert Francis Webster Care home only 5 Category(ies) of LD Learning Disabilities (5) registration, with number of places 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2004 Brief Description of the Service: 45 Watson Road is registered for five adults who have a learning disability. There were four residents living there at the time of this inspection.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 F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and started at 1.00pm and took place over 4 hours. The Inspector spoke to one staff member, the registered person and the manager. The inspector also spoke to four of the residents. Staff and care records were examined. A full tour of the premises was undertaken with the manager. What the service does well: What has improved since the last inspection? What they could do better: Support staff need to be trained in giving medication to ensure that service users are not put at risk. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 6 The staff and manager need to ensure that they achieve the appropriate approved training in care that is essential for Learning Disability Services. This will improve the service that is being offered. 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 F57 F09 S9880 Watson Road V170269 080605 Stage 4.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 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.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) 1,2 and 5 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: The home had good written information for people wishing to use the service. These documents gave out the necessary information that would help prospective residents choose if the service was suitable for them. 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. All of the residents had been issued with contracts, and these had been signed and dated. The contracts would help protect the rights of the residents and ensure that their living conditions were not changed without their permission. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.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, 7 and 9 A plan of care is developed with the residents, which ensure their wishes, goals and aspirations are well planned and constantly reviewed to support positive outcomes. EVIDENCE: The residents had regular meetings and were able to contribute to the running of the home through these. All of the four residents that were spoken to felt that they had a ‘voice’ within the home and that their feelings were listened to. Written information on residents files were thorough and were reviewed on a regular basis to reflect the residents changing needs and aspirations. Formal reviews took place every six months to detail how the person’s life had changed in that period of time. 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 F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13 and 14 Active, meaningful day occupation is encouraged. Residents are given opportunities to use local facilities and resources to ensure community participation and widen their experiences. EVIDENCE: Three of the four residents were able to go out alone and enjoy local facilities. Two of the residents had jobs and it was obvious when discussing these that employment was very important to these gentlemen. Both were able to travel independently to work. It was clear that all four residents felt that they were part of the local community and were accepted as ordinary members of the community. The residents were encouraged to become involved in active life outside of the home and were able to do this individually under a risk management framework. Information regarding work and leisure activities was available within the residents’ Individual Plans. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 11 The residents were encouraged to prepare and cook meals within the home and all of the three residents that were interviewed said that the food was good. The homeowner encouraged the residents to share their meal times around the dining room table to encourage communication and friendship. It was clear from viewing the menus that the residents were encouraged to eat healthily. The residents and registered manager confirmed this. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 12 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) 19 and 20 Residents health care is taken seriously and needs are closely monitored; ensuring health issues are met properly. EVIDENCE: The individual plans of each resident showed that health care needs were taken seriously and emotional needs were closely monitored. For important appointments care staff always accompanied residents to the doctors. All the residents were weighed regularly and this was recorded. Dental and optician appointments were recorded and residents generally attended these alone. Good recording is essential so that health needs are monitored and problems are identified quickly. The staff member that was interviewed was clear about her role and how it was important to allow as much independence as possible when dealing with health issues. Records of the residents were examined and they contained the information required in relation to health care and all needs were being met. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 13 Comprehensive medication policies were in place and records showed good practices were observed. Some of the residents were able to take their own medication and suitable storage was available in their rooms for this. General administration and storage was good. The registered manager acknowledged that accredited training in the administration of medication still needed to be accessed. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: The home had a detailed complaints procedure, which was made available to all residents on admission. The registered manager said that concerns were often dealt with during residents meetings. One resident said that if he had any concerns, “I’d just speak to (the manager) and he’d sort it.” The support worker who was spoken to was aware of the procedure to follow should a complaint be made. There have been no formal complaints since the last inspection. The home has a procedure in place for dealing with allegations of abuse. The registered manager and staff spoken to 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 F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 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 standard(s) 24,25 ,26 and 30 Residents live in a homely, safe, comfortable environment. EVIDENCE: A tour of the home was undertaken. The house was very homely and comfortable and it was clear that the residents were very proud of their personal bedrooms and there were lots of personal possessions around to emphasize this. One lady had several ‘life achievements’ on display, including certificates and awards. The bedrooms were all quite spacious and the house itself was sizeable and roomy with many of the original features. The home was exceptionally clean and care was taken by the staff and residents to ensure that hygiene issues were addressed quickly and efficiently. The home was safe and secure. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,35 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 is still a need to ensure that 50 of care staff are trained up to National Vocational Qualification (NVQ) level two. There have been difficulties in getting support workers on to NVQ courses after the local college had problems with enrolment. The inspector saw a letter from the college confirming that training would be made available for three support workers in September 2005. 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. 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. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 38. Service users benefit from a well run home. EVIDENCE: The manager was very knowledgeable regarding learning disability issues and had several years experience with this client group. The home was run efficiently and considerately. The registered 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 registered manager at the home has a BA (hons) in Social Work. 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 18 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 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x 2 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 45 Watson Road Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x x x F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 19 yes 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. 2. 3. 37 20 Standard 32 Regulation 18 (1) (a) 9 37 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. All care staff must have accredited training in the administration of medication. Timescale for action 31/12/05 31/12/05 01/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard Good Practice Recommendations 45 Watson Road F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 F57 F09 S9880 Watson Road V170269 080605 Stage 4.doc Version 1.40 Page 21 - 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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