Inspection on 02/02/06 for 63 West Park Road

This inspection was carried out on 2nd February 2006.

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 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

63 West Park Road 08/12/08

63 West Park Road 08/12/06

63 West Park Road 09/09/05

63 West Park Road 14/02/05

63 West Park Road 05/07/04

63 West Park Road 11/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 West Park Road (63) 63 West Park Road Corsham Wiltshire SN13 9LW Lead Inspector Mrs Jacqui Burvill Unannounced Inspection 2 February 2006 13:00p nd West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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 West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service West Park Road (63) Address 63 West Park Road Corsham Wiltshire SN13 9LW 01249 712425 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 Jean Cottle Mrs Jean Cottle Care Home 1 Category(ies) of Learning disability (1) registration, with number of places West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th September 2005 Brief Description of the Service: 63 West Park Road is a private domestic home, providing care and accommodation for one service user. The home is close to Corsham town centre and there are good transport links near by. No staff are employed as Mr and Mrs Cottle are the sole carers. The home has a garden to the front and the rear of the property and the service user has their own bedroom on the first floor. There is a ground floor shower and cloakroom and a first floor bathroom, as well as a sitting room and a large kitchen with table and chairs. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 2nd February and lasted for one hour. Mr and Mrs Cottle were present. The service user was on holiday with family. The care plan and accompanying records were looked at. What the service does well: What has improved since the last inspection? What they could do better: The care plan needs to include some more detail about how exactly the registered person supports the service user in managing their finances. There is one new record, which is helpful, but there are still improvements needed. The registered person should find suitable training in epilepsy and an understanding of learning disabilities, so as to be better able to meet the needs of the service user. Please contact the provider for advice of actions taken in response to this West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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 West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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): 2 No new service users have been admitted to this home. EVIDENCE: West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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): Standards 6,7 and 9 were assessed at the last inspection. Standards 7 and 9 were met. EVIDENCE: West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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): 16 The service user is supported in maintaining rights and responsibilities. Standards 12, 13, 15, 17 were all assessed as met at the last inspection. EVIDENCE: The care plan contains some brief details of how the registered person helps the service user manage their mail. This is because some important appointments had been missed in the past. This system has worked well since introduced at the last inspection. The service user has unrestricted access to all parts of the home. He has his own front door key and access to the rear of the home if required. The service user is supported in managing some household tasks. These vary, depending on how the service user is feeling. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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 The service user’s physical and emotional needs are supported by the registered person and other healthcare professionals. Standards 18 and 20 were assessed as met at the last inspection. EVIDENCE: Since the last inspection, there has been some additional involvement with other health care professionals to assess the service user’s needs and to find additional ways to support him in the current placement. The person completing the assessment has provided a helpful and detailed report to all parties. There are separate records showing episodes when the service user has been unwell and this is then shared with healthcare professionals. These changes and appointments are recorded in notes in the care plan. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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): Standards 22 and 23 were assessed as met at the last inspection. EVIDENCE: West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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): Standards 24 and 30 were assessed as met at the last inspection. EVIDENCE: West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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): Standards 32, 34 and 35 are not applicable. EVIDENCE: The registered person and her husband are the sole staff team for the service user. This is their own home and one of them is available to the service user at all times. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 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, 39 The service user would benefit from the registered person having more training in understanding how to meet his needs. Standard 39 does not apply. Standard 42 was assessed at the last inspection. EVIDENCE: The registered person has completed some training as part of her other post in a care home. This includes moving and handling, basic food hygiene and NVQ level 2 training. The registered person has more understanding of the service user’s needs following the assessment by a healthcare professional. She has not been able to find training that is suitable to enable more understanding of the service user’s needs. The registered person and the inspector discussed the quality assurance standard. This is the registered person’s own home and there have been discussions in the past year about registering with the Adult Placement Scheme, as these standards seem to be better suited to the role provided by the registered person, providing a supportive background for her. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 16 However, the registered person decided not to register and the arrangements for the future care of the service user has been under discussion with the care manager for at least two years now. It appears as though the service user may move on to alternative accommodation in the future. The service user’s family do not have any direct contact with the home, other than phone calls. Health care professionals have had some contact, but mostly in the community, rather than in the home. The quality of accommodation is very high and there seems to be no useful purpose in asking the registered person to complete a quality assurance survey. At the last inspection, the service user made his positive views very clear about the home and the care provided. He repeated these views recently to a healthcare professional and they have been included in a recent assessment. West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 17 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 Standard No Score 1 X 2 N/A 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 N/A 33 X 34 N/A 35 N/A 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 2 X N/A X X X X West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 18 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. 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 YA6 Good Practice Recommendations The way in which the service user needs support in managing parts of their finances should be described in the care plan. This should include details of care payments that must be made to the owner. (Carried forward from the last inspection) The owner should attend a training course to develop a better understanding of the needs of adults with a learning disability.( Carried forward from the last inspection) 2. YA35 West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 West Park Road (63) DS0000028176.V274333.R01.S.doc Version 5.1 Page 20 - 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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