Inspection on 09/09/05 for 63 West Park Road

This inspection was carried out on 9th September 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

63 West Park Road 08/12/08

63 West Park Road 08/12/06

63 West Park Road 02/02/06

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 Jacqui Burvill Unannounced 9 September 2005 th 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. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 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 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 LD Learning Disability (1) registration, with number of places West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2005 Brief Description of the Service: 63 West Park Road is a private domestic home, providing care and accomodation 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) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours on 9th September 2005. The inspector spoke to the service user for about half an hour. The following records were seen: care plan and risk assessment, medication records, daily notes, menu records and some policies and procedures. Mr and Mrs Cottle were present during the inspection and provided other details about the care of the service user. The service user described their job, activities, meals, friends and personal health. The service user feels very happy in the home and enjoys the mix of independence and support that is provided. What the service does well: What has improved since the last inspection? What they could do better: 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. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 6 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 West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 7 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) No new service users have been admitted to the home since the last inspection. EVIDENCE: West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 8 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, 9 The service user is supported and enabled to make decisions about their own life. Risks that affect the service user are detailed and enable the service user to live life as fully as possible. EVIDENCE: The care plan is in place. The care plan needs to be signed and dated. A new format has been written and medication details need to be added as at the moment these are on a separate sheet, which is undated. The daily notes and other records show the choices made by the service user. Details have been added about what to do if the service user has a seizure in the community. The service user needs more support in managing personal mail. This should be detailed on the care plan. This should include details of how the service user manages finances and include amounts that have to be paid to Mr and Mrs Cottle. There is evidence of choices made through menus and activities and daily notes. Risks are well documented and have been reviewed monthly until June of this year. This includes hazards in the home going out in the community and leaving the bedroom door ajar at night. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 9 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, 15, 17 The service user enjoys activities and relationships within the local community. The service user enjoys an expanding range of meals, which has contributed to an improvement in health. EVIDENCE: Activities are family based, as the service user enjoys taking part in activities that the carers take part in. There are separate groups of friends, colleagues and family relationships locally that are important to the service user. These activities put the service user at the heart of the local community; the service user has a job, which he thoroughly enjoys. The service user described the range of foods that he likes to buy and prepare. Mrs Cottle has been supporting the service user in preparing a variety of different meals, which has been recorded. This is a significant change since the last inspection. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 10 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, 20 The service user is enabled to manage their own personal care and daily living in a style that suits them. The medication system in the home is safe and accurately recorded, which ensures the service user remains in the best of health as possible. EVIDENCE: The new standex style care plan and additional documents describes the way personal care is managed and supported, and includes daily routines that take place in the home. They are in the style that best supports the service user. There is no self-administration of medication, as the medication is quite complex, due to changes put in place by healthcare professionals. This has had a marked improvement on the service users’ health. There are clear medication administration records and letters and details on the care plan about changes in medication and how to implement them. There is a procedure to show how the medication is obtained. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 11 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, 23 The service user is supported in expressing their views. The home’s owner has received training on adult abuse, to ensure that the service user is protected from harm. EVIDENCE: The complaints procedure has been shared with family members and there are records in place to show this. The service user described a situation where he felt his views were not being listened to. Mr and Mrs Cottle support the service user in sharing and recording these views to those involved. There have been no complains since the last inspection and no complaints about the home have been received by the CSCI. Mrs Cottle has received vulnerable adult protection training through her other job. The home has a copy of the Wiltshire and Swindon ‘No Secrets’ guide. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 12 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, 30 The home is safe, homely, clean and tidy which meets the service users’ needs. EVIDENCE: This is a domestic type home and the service user has access to all parts of the home and was seen to be at ease and relaxed there. Personal interests are reflected in the service users’ own bedroom. The home was clean and tidy on the day of inspection. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 13 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) EVIDENCE: This standard is not applicable, as Mr and Mrs Cottle do not employ any staff in the home. Mrs Cottle has a post as a night carer and through this post has obtained NVQ level 2 and has started NVQ level 3. This is for care of the elderly. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 14 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 safety and well being of the service user is promoted in the home. EVIDENCE: There are safety data sheets about cleaning products in use in the home. The owner has written a fire safety procedure and the service user is involved in practices in the home. Smoke alarms checks are recorded. West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 15 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 N/A x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x N/A x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 West Park Road (63) Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 16 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. 2. 3. 4. Refer to Standard YA6 YA6 YA6 YA6 Good Practice Recommendations The care plan should detail how the service user is supported in managing their mail. The Standex style care plan should describe the medication needs of the service user to ensure that up to date records are kept. The service user should sign and date the care plan. The way in which the service user needs support in managing parts of their finances should be described in care plan. This should include details of care payments that must be made to the owner. The owner should attend a training course to develop a better understanding of the needs of adults with a learning disability. 5. YA35 West Park Road (63) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 17 Commission for Social Care Inspection 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) D51_D01_S28176_WESTPARKRD_v187428_090905_Stage4.doc Version 1.40 Page 18 - 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. 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