Inspection on 15/03/07 for 88 Walliscote Road

This inspection was carried out on 15th March 2007.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

88 Walliscote Road 17/03/09

88 Walliscote Road 08/06/06

88 Walliscote Road 28/02/06

88 Walliscote Road 16/06/05

88 Walliscote Road 14/12/04

88 Walliscote Road 06/07/04

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 88 Walliscote Road Weston Super Mare North Somerset BS23 1EE Lead Inspector Paul Grey Unannounced Inspection 15th March 2007 09:30 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 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 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 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. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 88 Walliscote Road Address Weston Super Mare North Somerset BS23 1EE 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) 01934 418465 0117 9699000 www.brandontrust.org The Brandon Trust Mrs Jean Southerton Care Home 12 Category(ies) of Learning disability (12) registration, with number of places 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 12 persons aged 18 years and over with learning disabilities. May include persons aged 65 years and over The top floor flat is to be occupied by one named resident only, and the registration will revert when this named person leaves. Date of last inspection Brief Description of the Service: 88 Walliscote Road is a care home for older people with a learning disability. The residents have been resettled from long stay hospitals; some of them have communication difficulties and may exhibit challenging behaviour. The service has a flat for supported living. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second key inspection was unannounced and carried out in the absence of the manager. The inspector conducted a tour of the premises, met 4 service users, 3 staff members and reviewed general documentation. At the time of inspection the trust was redecorating the premises and in the process of replacing old carpets and performing generally overhaul of the environment. The service users were happy, well presented and happy to meet the inspector. The Inspector made one requirement regarding damage to a ceiling but otherwise found a well run service and happy service user group. What the service does well: What has improved since the last inspection? What they could do better: The inspector noted a hole in the ceiling that had been identified by the staff team but not addressed by the estates department. Otherwise the inspector noted no significant flaws. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 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 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is adequate The service has developed a Statement of Purpose, which sets out the aims and objectives of the home, and includes a service user guide. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector reviewed the statement of purpose comparing it to services offered in the home. The statement of purpose contained a service user guide. This included an outline of the purpose of the home and a description of facilities included. This also contained an explanation of the home’s complaints procedure. The statement of purpose is up to date and continues to meet national minimum standards. The Inspector reviewed 4 service user files to evaluate the assessment process. There had been no recent admissions to the home. Service users had received a comprehensive person centred assessment. This had been used to create a plan of care. Documentation has now been transferred to Brandon Trust’s person centred planning. The Inspector noted the 4 assessments sampled have been reviewed in line with the service users’ changing needs. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 9 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good The service recognise the right of individuals to take control of their lives, and have the opportunity to make decisions and choices, supported by the home. Each service user has a care plan, which includes a risk assessment and is person centred. When developing the plan the home has complied where possible with relevant social care guidelines and recognises the specialist nature of the care required for some residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector case tracked 4 Service users from admission assessment through care planning, care delivery and review. Walliscote Road uses the Brandon Trust Person Centred Planning format. Care plans set out service user needs and any specialist requirements the service users may have. There were no undue restrictions on a service users who were supported by care plans and 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 11 risk assessments that reflected their changing needs. Service users are involved where possible in the decision making process regarding their care. Any restrictions on service user’s choice or freedom are conducted within the care planning or risk assessment framework. Where possible a service user is involved in this process and a signature obtained to show they agreed with these restrictions. Walliscote Road’s risk assessments were appropriate to the service user groups needs and were based on robust assessment and risk minimization strategies. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16, and 17 Quality in this outcome area is good The service has a strong commitment to enabling residents to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector reviewed care plans and assessments for evidence of how the service encouraged the service user group to be involved in stimulating activities both at the home and in the community. Care files and staff statement indicated that service users at the home are encouraged to be involved in a range of activities. Service users could be supported to engage in activities such as further education at Weston College, 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 13 or additional literacy, numeracy or life skills training. At the time of inspection, the Inspector understands no service users were attending an educational programme although one service user had previously accessed a range of activities at Weston College. Staff told the Inspector that service users would be supported to attend educational or vocational courses if they wanted. Walliscote Road is within walking distance of the town centre and a wide range of facilities. Service users are supported to access these facilities by the staff team. Service users also have access to day care activities supplied by separate team. Service users are supported to maintain relationships with friends and family. The Inspector noted there were no undue restrictions on this, and found examples where staff had facilitated and supported family relationships. The staff had gone to some lengths to support and facilitate one family relationship which met with success. This success can be directly attributed to the support and efforts of the staff team. Service users living at the home can choose who they see and where they see them. Should service users wish to develop or maintain an intimate relationship the home will be supportive of this. The service has appropriate policies and procedures to guide the staff team through this process. Staff told the Inspector that the routines of the home were flexible to meet service users needs. One service user told the inspector that he could get up or go to bed when he wanted. The Inspector noted that during the inspection all service users were addressed by their preferred term, staff knocked on all doors before entry and interacted well with the service users, involving them where possible. During a tour of the premises the Inspector was able to see food preparation, speak a staff member about the menu. Two service users said they liked the food and could ask for something else if they did not like what was on offer. The home had pleasant and varied menu that could be altered to meet a specialist diet or cultural or religious needs. Staff informed the Inspector that there is a cooked meal every day which varies depending on what the service users have said they want. The Inspector noted evidence of a rotating menu complete with varied and appealing meals. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good The health needs of service users are monitored and appropriate action and intervention taken. The home is able to provide a level of support where needed. There is evidence in the Care Plan of health care treatment and intervention, and a record of general health care information. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector obtained evidence from the staff team, observation and documentation of care. Service users are supported with tact and diplomacy by the staff team. The Inspector noted evidence of this during inspection in the way service users were supported. The Inspector noted evidence in service users care files regarding how best to maintain the service users’ privacy and dignity during personal care. Service users who express a preference, could be supported by particular members of staff should they wish. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 15 Service users were supported to attend hospital or GP appointments by the staff team. Evidence in 2 care files demonstrated an active commitment by the team in supporting service users to access external health care. Service users are encouraged to have regular health checks with the local GP. These will take place in private unless a staff member is required to support the service user. No service users at the home administer their own medication. The Inspector noted risk assessments outlining the dangers presented if service users had to self-administer. The Inspector found evidence that medication was administered safely and appropriately. The medication administration records were signed up to date and contained no crossing outs or admissions. Staff had received appropriate training by the Brandon Trust to administer medication. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good The service has a complaints procedure that is up to date, very clearly written, and is easy to understand. The policies and procedures regarding protection of individuals are of a high quality and are regularly reviewed and updated. The service is clear when incidents need external input and who to refer the incident to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Walliscote Road has a clear and effective complaints procedure. The Inspector found evidence on this and previous inspections that service users are supported and enabled to complain if they are unhappy with aspects of care. Service users complaints are responded to and dealt with within a 28 day period. Service users are supported to make a complaint on a one-to-one basis should they wish. A record is kept of any issues raised by service users. Staff at the home are trained to support service users and protect them from abuse by the Brandon trust. The staff team receive training to identify abuse and to learn how to report any suspected abuse. Any allegations of abuse are recorded at the home. Physical and verbal aggression by service user is understood by the staff who have been appropriately trained by the Brandon trust. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 17 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good The home provides a physical environment that is appropriate to the specific needs of the residents who live there. The home is well lit, clean and tidy and smells fresh. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During a tour of the premises the Inspector noted a great improvement in the overall environment and attempts by the Brandon trust to rectify identified faults. In addition, the Trust is redecorating and communal areas, replacing carpets and has addressed shortfalls in the kitchen environment. This is good practice. The inspector noted one hole in the dining room ceiling as a result from previous water damage. This had been identified to the Brandon Trust estates service who had failed to address it. This was subject to requirement. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 19 The home’s kitchen has undergone refurbishment and the kitchen has now been fitted with an insect screen. The kitchen temperature is reduced by the use of an air conditioning unit and greater ventilation. The home was clean and fresh throughout with no offensive odours. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good Service users have confidence in the staff that care for them. Rotas show well thought out and creative ways of making sure that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the residents. The service ensures that all staff within its organisation receives relevant training that is targeted and focussed on improving outcomes for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the managers absence the Inspector was unable to fully assess key standard 34. The staff team are accessible and approachable to the service users. Observation during inspection showed a friendly and open staff team who were interested in the service users. Two staff members spoken with had knowledge of learning disabilities and any specific problems relevant to their service users. This was good practice. Staff have regular training in the skills 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 21 necessary to care for service users living at the home. These include training in understanding learning disabilities, communication skills, and positive response training for such dealing with aggressive behaviour. Whilst the inspector could not access staff files in the absence of the manager, staff told the inspector they had provided references and appropriate checks to work on the premises. Previously the home met national minimum standards. Service users are supported by a well trained staff team. Brandon trust runs regular staff training covering statutory training such as food hygiene, first aid or manual handling and more advanced training such as NVQ 3 and Learning Disabilities Frame work awards. Evidence of staff training was available during inspection and upcoming staff training events were posted on a bulletin board. Staff spoken with informed the Inspector that they have their own training and development plans linked to service users needs. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 Quality in this outcome area is good The home has developed a health and safety policy that generally meets health and safety requirements and legislation. It is aware of the areas where they need to make improvements and has an action plan for undertaking the work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 37 was not reviewed in the manager’s absence. The home uses the Brandon Trust Quality Audit package. This is a professional Quality Assurance package designed to assist the manager identify and rectify quality assurance issues. The inspector noted that the manager has obtained questionnaires, feedback information and runs community meetings to assess 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 23 quality issues. The home has a quality assurance policy which it has applied successfully. The Inspector audited fire records and staff training. The Inspector found evidence of appropriate fire safety training. The Inspector noted that service users are protected by safe practices. Staff are trained in moving and handling, fire safety and first aid. Risk assessments indicate that as far as is reasonably practical health and safety of the service users are protected at all times. 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 24 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 3 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x x 3 x X 3 x 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 23 2 b Requirement The inspector requires the Brandon Trust make good the damage to the fabric of the ceiling in the dinning area adjacent to the pillar. Timescale for action 30/09/07 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 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 88 Walliscote Road DS0000008136.V321307.R01.S.doc Version 5.2 Page 27 - 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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